Re: radioiodine after surgery always?
As far as I know, most ***** patients get RAI after surgery to be absolutely positive no more thyroid tissue can exist afterward. RAI is very similar to regular chemotherapy you hear about for canver. It kills off cancer cells quickly. Im not a doctor but I think that the positive's you have from knowing you totally destroyed the cancer for sure is worth the tiny risk involved in getting RAI. With surgery, no matter how good the doc is, they do leave behind some thyroid cells. If some of those cells happen to contain cancer cells, they can of course spread to the lymph nodes, lungs, etc. Nuking any remaining tissue will obliterate any remaining cells.
Once your thyroid is removed, RAI should have very few negative effects on you. Most of the problems with RAI stem from too much thyroid tissue dying off too quickly, which you no longer have to worry about. I think if it were me and I had the choice, I would opt for the RAI and know I will probably never have to mention the "C" word again in my life....its just a precaution.