晚期甲状腺乳头状癌伴淋巴结转移联合术后外放疗增加转移病灶对^(131)I摄取2例病例分析

Analysis of increased uptake of ^(131)I by combined postoperative external radiotherapy in 2 cases of late stage thyroid papillary carcinoma with lymph nodes metastasis

对2例晚期甲状腺乳头状癌患者进行了术后根治性外放疗联合多次^(131)I治疗,并成功随访9年。根治性外放疗有效缩小了颈部转移淋巴结及残留甲状腺组织,并使得颈部转移淋巴结的摄碘能力提升,也使得肺转移灶有可能尽早获得摄碘能力并得以控制、缓解病情进展、提高疗效。

Analysis of increased uptake of ^(131)I by combined postoperative external radiotherapy in 2 cases of late stage thyroid papillary carcinoma with lymph nodes metastasis.This article reviewed 2 cases of advanced papillary thyroid carcinoma who underwent postoperative radical external radiotherapy combined with multiple ^(131)I treatments,and were successfully followed up for 9 years.The results showed that radical radiation effectively reduced neck metastatic lymph nodes and residual thyroid tissue,also improved the iodine uptake capacity of neck metastatic lymph nodes,and made it possible for lung metastases to acquire iodine uptake capacity as soon as possible and could be controlled to alleviate disease progression and improve curative effect.