What treatment would you initiate post-operatively for patients with de novo metastatic follicular thyroid CA requiring laminectomy for cord compression?
In addition to TSH suppression, would you opt for RAI, targeted treatment based off NGS, or lenvatinib?
Answer from: Medical Oncologist at Academic Institution
I would do RAI if the total body iodine scan is positive.
TKIs are indicated in cases that are RAI-refractory.
The patient may also require post laminectomy XRT.