 1. Confirm the extent of disease Your aunt’s workup should ideally include: • Neck ultrasound • Chest CT (to assess lung metastases) • Whole-body radioactive iodine scan (post-surgery) • Thyroglobulin levels (tumor marker) ⸻  2. Plan for surgery The surgeon will decide: • Total thyroidectomy (removal of entire thyroid) • Lymph node dissection (if nodes involved) • Possible RAI after surgery ⸻  3. Post-surgery treatment Usually: • Thyroid hormone replacement (lifelong) • Radioactive iodine therapy (RAI) if indicated • Follow-up with thyroglobulin marker & scans With appropriate treatment, even metastatic thyroid cancers often have good long-term survival compared with many other cancers.

✔ Choose a high-volume thyroid surgeon (better outcomes) ✔ Ask your surgeon about nerve monitoring (reduces vocal cord risk) ✔ Get pathology review if not already done ✔ Ask about RAI planning ✔ Ensure endocrinology follow-up for lifelong hormone management Regarding your cost question: the cost of thyroidectomy varies widely depending on the city, hospital, and whether lymph node dissection is needed. In India, rough approximate cost ranges: • Total thyroidectomy (public/emergency): ₹30,000–₹70,000 • Total thyroidectomy in a private hospital: ₹80,000–₹200,000+ • With lymph node dissection / advanced care: ₹2,00,000–₹4,00,000+ • Radioactive iodine therapy: ₹15,000–₹70,000 per dose (depends on activity and hospital) These are general estimates — actual costs may differ. Because treatment planning (extent of surgery + need for RAI + follow-up care) is highly individual, I recommend booking an online consultation so we can review your aunt’s imaging, pathology reports, and plan the best tailored treatment and expected cost breakdown for her situation.

Consult a good oncologist surgeon for detailed evaluation

Contact me anytime on practo for further consultation

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