Can the experts please talk about the next steps in papillary thyroid cancer reoccurance?

Surgery and/or I-131: Most cases of papillary thyroid cancer are treated with a combination of surgery and radioiodine (i-131) therapy. The exact treatment will depend upon a number of factors, including how the recurrence was detected, how extensive it is, etc. The best place to start is with a consultation with your endocrinologist and/or a nuclear medicine doctor.