How JustAnswer Works:
  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.
Ask Dr Adi Your Own Question
Dr Adi
Dr Adi, Professor
Category: Endocrinology
Satisfied Customers: 437
Experience:  Director of the Pediatric Diabetes Clinics at UCSF.
56602461
Type Your Endocrinology Question Here...
Dr Adi is online now
A new question is answered every 9 seconds

In March 2014 I had a total thyroidectomy carcinoma.

Customer Question

Hi,
In March 2014 I had a total thyroidectomy for papillary carcinoma. Followed by whole body RAIU test on 4/22/15, then the iodine 131 with another whole body scan 10 days later.
Results first from scan:
Within the neck, the normal thyroid gland is absent, consistent
with surgical removal. There is an abnormal focus of uptake within the
neck along midline. There is a second focus in the neck involving the
region of the lower left lobe thyroid bed.
Within the whole body, tracer distribution is within normal limits. No
abnormal focal area of uptake is identified. Normal tracer distribution
in the salivary glands, stomach, colon, and bladder are noted.
IMPRESSION:
1. 2 foci of uptake in the neck which may represent residual thyroid
gland. I cannot exclude a lymph node in the left lower thyroid bed.
2. 1.34% uptake at 24 hours
3. No abnormal uptake identified to suggest distant metastatic disease.
Results from final scan:
Focal neck tracer uptake consistent with residual thyroid tissue or neoplasm. Focal uptake in regions of the gallbladder fossa, which is indeterminate and cannot exclude metastases. Radiographic correlation is recommended
My first question is, do the results from the final test supercede the first because those concerns were not present on the final scan?
In June***** said I will need a follow up scan in six months to make sure there isn't any residual tissue floating around. I called today and he says he never said that and everything looks fine. So my second question is, is it normal to not have a follow up scan, or at least the radiographic correlation that was recommended?
Submitted: 11 months ago.
Category: Endocrinology
Expert:  khagihara replied 11 months ago.

The final test results supersede the first ones. You should have imaging studies such as CT, MRI, PET for the radiographic correlation.

Customer: replied 11 months ago.
even though my Dr. is saying I don't need additional scans, I wouldn't be out of line bringing the results of the last test to his attention again
Expert:  khagihara replied 11 months ago.

CT, MRI, and/or PET is not so much invasive. It is worth while doing it excluding metastases.