TT performed locally in Miami was done 2/6 it was discovered at that time it was meduallry not follicular and it was positive for 7 out of 10 lymoh nodes in the neck. I have a few questions. Since 2 patholgy labs read the FNA as follicular but it turned out MTC if we had the benefit of knowing presurgically that it was MTC there probably would have been more extensive lymph node removal. planned for the surgery. He took out lymph side nodes and central compartment. Any evidence that radical neck dissection and clean out everything approach works better in the long term outcome of figting this disease? Was this surgery and lymh node removal undertreatment for his MTC because they planned on follicular when they went in and taken by surprise by the outcome of what they found? Working with a local endo as well he wants f/u blood work of Tg (quantative) TSH T4 Sma7 calcitonim Tg ab. However surgeon asks follow up blood work for t4 Tsh and calcium and calcitonin levels. I just now obtained an appt with MD anderson for 2nd opinion on 3/15. Should I do these labs now bring results with me to anderson and asssume they will repeat what they need at Anderson? Do I wait for anderson to do it all on 3/15? How often do you have calcitonium repeated after TT? Will Insurance say unnecessary to repeat these again on 3/15?
Thanks for your input and teaching me on this journey.