Hi,
Just an overview:
Oct 2016 FNA reveals suspicion
Nov 2016 left thyroid removed and papillary carcinoma diagnosed
Dec 2016 right thyroid removed and central lymph nodes and no malignancy nor spread. Papillary carcinoma of the thyroid PT3N0M0 grade with minimal extrathyroidal extension.
Feb 2017 radioactive iodine 3.7gbq dose
Several months thyroxine monitoring
Nov 2017 stimulated tsh
Jan 2018 stimulated test results reveal tg 6 therefore dynamic risk stratification meant intermediate risk. They also did an ultrasound and found a 5mm 'cyst'. Therefore plan was to repeat stimulated tg and ultrasound 6 months
June 2018 no change to cyst therefore no worries. Stimulated tg is 7
Nov 2018 no concerns review in jan. No stimulated tests or ultrasound. Unstimulated tg is less than 0.1
Jan 2019 want to do another stimulated tg.
May 2019 stimulated tg is 8.
So my oncologist called and said that he needs to see me next week as they think since I am intermediate risk and the trend for stimulated tg is increasing that another dose of rai is advisable. He also wants to check the cyst again so ultrasound booked for 2 weeks time. Also wants to do CT scan of the thorax. Not had this before! I asked him is it because he thinks it has spread and he said no. Planning on RAI in july.
My questions:
1. I dont know if i am stressing myself out but how common are multiple doses of RAI?
2. I had no malignancy or nodal spread so could this still be possible?
3. How common are CT scans in thyroid cancer management? This is new to me and probably stressing about this too.
4. Who else has experienced something similar?
5. Is dynamic risk stratification for risk of recurrence?
6. If tg is going up does that mean its cancer? And recurrence or persistent cancer? Confusing..
7. Is prognosis still good even if multiple doses are needed?
8. Fertility with a second dose...is it affected?
I thought my chances of becoming low risk after the first dose was pretty good considering I had no spread so dont know why it didnt. I did my low iodine diet well and still ended up being intermediate category.
Lots of questions, sorry!!
Pkc
Lol, no whoops. The good thing about the forum is its here as and when you need it. So pick it up and put it down as you need it.
I did have a quick browse through your last posts, but couldn't see country anywhere. The reason I asked is your stimulated tests, I've not heard of anyone in the UK having so many. However it is quite common in the US to be tested like that.
So, your questions....
1. How common is a hard one to quantify. People are given as many doses as they need and that they can take. So it varies from person to person. Me? I've had 4 doses so far, and more aren't ruled out for the future.
2. You had malignancy in your thyroid, it just hadn't spread to your lymph nodes. And yes, it's possible for it to pop up there after the fact because that's the job of the lymph nodes. Anything that's seen as an invader in the body, like a bug or an infection, is swept off into the lymph nodes for them to deal with and destroy. All part of your immune system you see. So any little cell baddies that decide to go rogue, are carried into the lymph nodes and will sometimes infect them and grow within them.
3. CT scans being done vary from hospital to hospital and Dr to Dr. I had one done before my completion, which is one of the usual times it's done. The other time is when you're having it done, when TG is rising and they just want to dot the i's and cross the t's to check what's going on everywhere.
4. Something similar? Do you mean a TG rise, or recurrence, or something else? There's a few people who have experienced different bits and pieces, but once they're all sorted they tend to move on with their lives and leave the forum behind. Though my last blood test a couple of weeks ago showed a TG rise.
5. Yes.
6. No. TG measures the awake and active thyroid tissue in your body. This could be healthy thyroid cells, or it could be cancerous cells. There's no way to tell the difference. As for recurrence or persistent, that one is hard to tell as well in some cases. I have one spot of persistent in my rib, because we've never got rid of it. However there are two spots in my spine that weren't there on the scans at the start. But they may have existed, just been asleep and then woke up. Or, they may be new growth. There's just no way of knowing, and tbh, it doesn't really matter as far as treatment is concerned.
7. Yup. Still excellent.
8. Nope. Just the same as last time, don't get pregnant for at least 6 months after treatment. It's why the RAI is so good. As a targeted treatment, it doesn't poison the whole body the way chemo or radio do.
I hope that helps. Do shout if there's anything else I can help with!
Lass
Xx
I have no medical training, everything I post is an opinion or educated guess. It is not medical advice.
Not a problem at all. If anything else pops into your head, you know where I am.
Lass
Xx
I have no medical training, everything I post is an opinion or educated guess. It is not medical advice.
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