Dr Michael Tuttle 🔹Thyroid Cancer 🔹Active Surveillance HD 1080p

[@JP-rg1jh]

hello - i have poorly differentiated metastatic carcinoma that they found when doing surgery on my solid variant papillary thyroid cancer for which they removed 69 tumors many of which were positive for cancer. it had invasively spread into the blood vessels and obviously lymph area. it was a successful surgery and after rai high doses i got better eventually or so i think i did. my abdomen has been hurting and i got a ct scan yesterday and it is showing a hypoattenuating lesion in my liver and my tsh which was always supressed to below 0.1 is now suddenly in a month time frame high 5. they dont seem to be worried but i am and i havent had a thyroglubin check in over a year. not sure how i should approach this because i do go to a good facility i think MSK. one more thing, ive had palpable nodules in the neck for months now that dont decrease and an ultrasound a few months ago say only "possibly reactive" but i dont understand how they dont go away. thanks for your time and advice.

[@detailsbynana]

How are u doing lately?

[@khaliddurrani6432]

The concept of surveillance of differentiated thyroid cancer originated from Japan where the researchers have shown credible evidence that small DTC 1-1.5 cm called micro carcinomas can be managed non surgically. In the same way recurrent cancer ( mainly L Nodes ) less than 1 cm can be kept under active surveillance.

[@reneehintz2294]

Can thyroid cancer be a host to other cansers

[@8ManFan]

I know this video is about a year old and a response is unlikely, but I'll throw out the question, anyway. How much does Active Surveillance apply to recurrent thyroid cancer? The thyroid's already gone, so it's lymph nodes with the growths. For that matter, does RFA work on RTC?

[@erebusagarista8031]

This is a late reply, but definitely not...once it's in your lymoh nodes you need them removed. I hope you're doing ok

[@8ManFan]

@@erebusagarista8031 Thanks. As it turned out, I did go for the surgery last September. They removed 23 lymph nodes, only two had the cancer. Post-surgery, they're keeping an eye on some possibles in the central neck area. If they are cancer, I'm hoping RFA is viable. Surgery sucks.