Why You usually don’t need radioiodine after surgery in most thyroid cancers.
Radioiodine was usually given to all thyroid cancer patients after surgery.
2017 we give it to fewer patients. Here are things to help you decide in consultation with your endocrinologist if you need it.
Cancer is small limited to the thyroid in good areas in the gland with no aggressive features,either no or limited number of lymph nodes, then radioiodine may be more harmful than do you good. Long term side effects can occur with little or no benefit to treating the cancer.
There is no rush to have the radioiodine. Take your time and get opinions before you submit to radiation treatment. Never get rushed into nuclear medicine without a clear indication it is needed.
What are the indications for radioiodine in 2017.?
Large tumors >4 cm, cancer tissue outside the thyroid, and many cancer involved lymph nodes ( not just a few ) in the central and lateral neck, or mediastinum. and distant spread.
If you don’t have these think twice about having radioiodine. Late onset of dry mouth, and blocked tear ducts are just a two complications.
Second opinions at my thyroid center before radioiodine treatment.
Call Matt 310-393-8860 for details.
Richard Guttler MD,FACE,ECNU