What are the steps for a papillary thyroid cancer reoccurance?

It depends: Multiple factors guide the management of a recurrent papillary thyroid ca. Patient factors - how fit and healthy tumor factors - extent of disease treatment factors - prior treatment and response and tolerance to them.

Usually surgery: Recurrence in the neck is common and is usually treated with surgery (and sometimes radioiodine). These operations are complex and injury to the recurrent nerve or parathyroids are more common. Seek out an expert! good imaging (ultrasound and sometimes ct and mri) is vital to planning the reoperation.