### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
respected sir, my husband dr satyapal reddy underwent total thyroidectomy +b/l cervical, paratracheal lymphadenectomy in 2005for papillary cancer-followed by i-131 200mci therapy.started on eltroxin 150.gamma scan in 2006 -normal .multiplei-131 200mci given in oct-2009followed by gamma scan which showed uptake in left gluteal ,right renal areas.PET CT -in november 2009-showed PET NEGATIVE lesions in lungs,PET POSITIVE lesions inliver ,right kidney and left gluteal area.USG done showed 1.2x1cm lesion in liver and 2x1cm lesion in kidney ,3x2 cm in gluteal area.,3 nodes in neck.Gluteal mass excised -H.P.E-papillary ca.CAN CYBER KNIFE HELP IN OUR CASE TO REMOVE RENAL ,LIVERAND LUNG LESIONS OR DO WE HAVE TO GO FOR SURGERY  OR   ANOTHER I-131 THERAPY.KINDLY HELP US.

### output:

Thanks for your question on Chat Doctor. I can understand your concern. Yes, you can definitely give it a try. Cyber knife in experienced hand can be used for liver and renal metastases. Since it is noninvasive procedure, he should definitely opt for this option first. If it don't work then open surgery is always an option. So first go for cyber knife and then open surgery if needed. Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. Thanks.