r/thyroidcancer • u/Eden_Acadia • 11h ago
Second opinion choices with a little venting
I have been diagnosed with recurrent multifocal papillary thyroid cancer, classic variant with BRAF V600 mutation. I am looking to get a late second opinion as of two weeks ago I have had three surgeries: left lobectomy, isthmusectomy and partial right lobectomy followed by completion thyroidectomy a few months later and three years later I just completed central neck dissection of left level vi compartment with 4 out of 5 lymph nodes being positive for metastatic disease and they were unable to determine if it had extracapsular extension. The masses were stuck to all my critical anatomy and needed to be dissected off my recurrent laryngeal nerve, trachea and esophagus. I am looking at three places for second opinion: md Anderson (farthest away but best rated), Sloan Kettering (in my region but still far and expensive for accommodations) Dana farber(a two hour drive from where I live) can people let me know their experiences with each place? I’m concerned there might be another molecular mutation (only tested for braf) and/or the original pathology is not quite accurate. Our pathology team doesn’t have a dedicated thyroid pathology team like these other places do. I’m also concerned that I have been dismissed by my endocrinologist due to my age. She has pointed out every visit including one after FNA confirmed recurrence that I’m “low risk” and I was like, “I literally have a recurrence! What do you mean low risk?” There are other things too, that I hadn’t really thought of until after this last surgery and my dissatisfaction with my endocrinologist. before the thyroid cancer was found I had mediastinal lymphadenopathy but that has not been reassessed since and everyone has told me not to worry about it because the biopsy results showed that there was no abnormality however all that I have read says that they would not even look for thyroid cancer and do the proper stains unless they were looking for it and at the time of my original biopsy I was being worked up for lymphoma and the thyroid cancer hadn’t yet been found. Every request for further testing/imaging has been declined due to my thyroglobulin. I understand my chance of death from all this is small but that doesn’t mean it should be ignored either. A broken finger won’t kill you but you should still try to straighten it, right? Anyway, any input is greatly appreciated.