| Objective:Discuss the clinical value of radiation therapy increasing the uptake of 131 I in patients with advanced thyroid papillary carcinoma who have had cervical lymph node metastasis,and to explore the indications of radiotherapy for Papillary thyroid carcinoma patients.Methods:Clinical data of 2 advanced papillary thyroid carcinoma patients treated by radiotherapy was retrospectively analysed between 2015-2017 in the first hospital of Shanxi Medical University.Meanwhile we read the relevant literature at home and abroad to review the therapeutic effect of radiotherapy in patients with advanced Papillary thyroid carcinoma and investigate the clinical value and indication of radiotherapy.Results:1.2 advanced thyroid papillary carcinoma patients with cervical lymph node metastasis was identified by biopsy.Both 2 cases were adults over 45 years old,with residual thyroid tissue and multiple metastases lymph nodes after operation.2.Both of the 2 cases were accompanied by distant lung metastases.The chest CT showed different sizes of nodular shadow in double lung.3.All 2 patients were treated with 131 I after radical radiotherapy,which becamesmaller than before,achieved partial response and showed high uptake in lymph nodes of irradiated area,being a concentrated state.Conclusion:1.Prompting as for advanced thyroid papillary carcinoma patients with cervical lymph node metastasis,radiotherapy may increase the uptake of 131 I in metastatic lymph nodes;2.As soon as possible to take external radiation therapy,The lung metastasis lesions of 131 I uptake could on the basis of the improvement of cervical metastatic lymph node uptake of 131 I as early as possible,so as to improve the cure rate of patients. |
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