How do you approach patients with recurrent papillary thyroid cancer following thyroidectomy who now has palpable cervical nodes and underwent neck dissection and RAI?  

It would be helpful to know when total thyroidectomy was done and if there was I-131 uptake on pre- and post- I-131 treatment? When was the RAI treatment? Is the thyroglobulin rising? Typically, if this is happening several months after RAI treatment, I would biopsy the node to make sure it is not ...