I was diagnosed with papillary carcinoma back in October. On 11/19 I had a complete thyroidectomy. I had 2 cancerous nodules on the right lobe - both <1cm. After the pathology was done, they didn't see anything else and the 12 lymph nodes they took out were all benign.
At that post-op appt, my surgeon felt like I could be monitored and come back in March for more scans. He didn't feel I needed RAI treatment at that point. But in meeting with my endocrinologist a few times, she is recommending it. She spoke with my surgeon and they both agree I am in a "light grey area" as to whether I should have the RAI. Even though the cancer was so small, because it was multi focal, she thinks I should have RAI. I am meeting with her next week to discuss further and I will call my surgeon beforehand to discuss with him again.
Here's where my question comes in ... I'm not sure what I should do or how I should make this decision. Is there anything I should be looking at specifically in my bloodwork yet that might help? I know my TSH is extremely low. I'm going to request a copy of my most recent workup on Monday. Has anyone else had to weigh this decision? What factors influenced what you ended up doing? I felt comfortable with my surgeon's opinion but my endo thinks the multi focality of my cancer means RAI would be the better course. Thanks in advance for any and all input!