Oncology Questions? Ask an Oncologist for Answers ASAP
Hi Dr. Mo here, please give me a moment to reply.
Your TSH can be high, that doesn't mean anything abnormal. What is your T3 or T4 levels?
The PET scan is done to see if there are any thyroid cancer cells left in the body, but usually further blood testing can determine that as well. Who ordered the tests? Your endocrinologist or your primary care doctor?
Those numbers seem high. Are these recently elevated? I'm guessing after 2013 they checked all your values and they were normal. Usually that's done every 6months-1year.
A PET scan is important to get. It could either be a little bit of thyroid tissue that grew back or it could be that they cancer didn't get removed fully. A PET scan and a thyroid uptake scan are what you will need next.
Still, don't be alarmed, it just might mean you might need another surgery but doesn't mean that you are at risk of worsening of the cancer.
Do you have any way to get the PET scan done outside of your network? By paying for it out of pocket perhaps?
I see. That makes sense.
So, I would recommend the PET and maybe even the thyroid uptake test.
Why don't you start with the PET, if the insurance doesn't approve it (which is absurd) then just either switch to a different insurance or pay out of pocket. You can likely later submit the cost if it comes back abnormal.
A PET scan is done to see inflammation as well as cancer, you are correct. Your doctor is likely mostly trying to see if there is anything abnormal on the neck, it could be that the cancer has spread to other sites but that's less likely since you already had surgery done.
Did you have radiation as well?
Okay, good, so the treatment was quite thorough.
You could do that as well.
Sorry, I thought you were being facetious, I didn't mean that in a serious way.
I think if you just contact the insurance company and tell them the situation they will immediately reverse their silly decision.
I didn't mean to come across incensitive, I was trying to help you.
Hi. I was wondering if you had any updates on your case?
How are you feeling?