Thanks for that post. i have been reading the latest research and it does seem that they have slightly relaxed the treatment protocol for Papilliary and Follicular thyroid cancer. My Endo actually said that she was there when the British Thyroid Association were reviewing the guidelines and the feel was that they had been over treating it. The guidelines do now say that for papilliary cancer smaller than 1cm, uni and multi focal, RAI is not recommended.
At the minute I have had one side removed and a lump 2.5 cm was removed and found to have papillliary thyroid cancer in it. However it did have a very large cystic component. It was encapsulated with a clear margin and no sign of invasion elsewhere. As it stands, my endo said I wouldn't need RAI BUT if they find more cancer on the other side of my thyroid following completion in a few weeks time, then It may be considered.
If they do find more cancer I'm hoping to ask if I can hold off RAI unless I get signs that it has returned elsewhere. I think that sounds reasonable but I shall see what she says. Does multi focal Papiliary suggest a more aggressive form of papilliary cancer? Does anyone know?
My endo also said that there was talk about changing the guidelines so that lumps up to 2cm were classed as potential for malignancy instead of the current 1cm.
Great info - thanks for sharing.
( wisewoman42.tumblr.com - My hemithyroidectomy adventure blog)