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131I治疗分化型甲状腺癌转移灶疗效观察
引用本文:陶新全,王明明. 131I治疗分化型甲状腺癌转移灶疗效观察[J]. 蚌埠医学院学报, 2009, 34(2): 114-116
作者姓名:陶新全  王明明
作者单位:安徽医科大学,核医学教研室,安徽,合肥,230032;蚌埠医学院第一附属医院,核医学科,安徽,蚌埠,233004;安徽医科大学,核医学教研室,安徽,合肥,230032
摘    要:目的:观察分化型甲状腺癌并远处转移患者接受多次大剂量131I治疗的临床效果。方法:45例分化型甲状腺癌并远处转移患者,根据甲状腺癌转移部位给予患者每次口服131I(370—740)×10^7Bq,分2~8次用药,每2次间隔4~12个月;治疗后4—6个月,采用131I全身显像和血清甲状腺球蛋白评价治疗效果。结果:45例中临床治愈15例,有效26例,无效4例。结论:多次131I治疗分化型甲状腺癌转移灶疗效佳,副作用小。

关 键 词:甲状腺肿瘤  肿瘤转移  肿瘤/放射疗法  碘同位素/治疗应用

Effect of 131I therapy on differentiated thyroid carcinoma metastases
TAO Xin-quan,WANG Ming-ming. Effect of 131I therapy on differentiated thyroid carcinoma metastases[J]. Journal of Bengbu Medical College, 2009, 34(2): 114-116
Authors:TAO Xin-quan  WANG Ming-ming
Affiliation:TAO Xin-quan ,WANG Ming-ming (1. Department of Nuclear Medicine ,Anhui Medical University ,Hefei Anhui 230032; 2. Department of Nuclear Medicine, The First Affiliated Hospital of Bengbu Medical College ,Bengbu Anhui 233004, China )
Abstract:Objective:To assess the effect of iodine-131 ( 131 I ) therapy on patients with differentiated thyroid carcinoma metastases. Methods : Forty-five patients with differentiated thyroid carcinoma metastases were treated with 131I, and the dose of 1311 varied according to the site of metastasis( 370 ×10^7 to 740 × 10^7 ) Bq. The therapy was repeated 2 to 8 times at an interval of 4 to 12 months. The efficacy was assessed 4 - 6 months later with 131I whole body scanning and serum level of thyroglobulin. Results: Of the 45 cases, 15 were cured,26 improved and 4 had no response. Conclusions: The therapy of high doses of 131I is safe and effective for treatment of differentiated thyroid carcinoma metastases with little adverse side-effect.
Keywords:thyroid neoplasms  neoplasm metastasis  neoplasms/radiotherapy  isotopes/therapeulic apply
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