Evidence map›Paper›PMID 42181184›Full record

ArticleFrontiers in endocrinology2026

Efficacy and safety of 125I seed implantation combined with thyroid-stimulating hormone suppression therapy in cervical lymph node metastases of differentiated thyroid carcinoma.

Yi Ruan, Hui Yuan, Feng Zheng, Yang Yang, Xuehua Chen, Cheng Xu

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Article in Frontiers in endocrinology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Yi RuanDepartment of Nuclear Medicine Changde Hospital Xiangya School of Medicine Central South University (The first people's hospital of Changde city), Changde, Hunan, China.
Hui YuanDepartment of Nuclear Medicine Changde Hospital Xiangya School of Medicine Central South University (The first people's hospital of Changde city), Changde, Hunan, China.
Feng ZhengDepartment of Nuclear Medicine Changde Hospital Xiangya School of Medicine Central South University (The first people's hospital of Changde city), Changde, Hunan, China.
Yang YangDepartment of Radiological Physics Technology The Affiliated Cancer Hospital of Xiangya School of Medicine Central South University (Hunan Cancer Hospital), Changsha, Hunan, China.
Xuehua ChenDepartment of Nuclear Medicine Changde Hospital Xiangya School of Medicine Central South University (The first people's hospital of Changde city), Changde, Hunan, China.
Cheng XuDepartment of Nuclear Medicine Changde Hospital Xiangya School of Medicine Central South University (The first people's hospital of Changde city), Changde, Hunan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Differentiated thyroid carcinoma (DTC) is a common endocrine malignancy, and cervical lymph node metastasis (LNM) represents the predominant pattern of disease recurrence. For patients who develop persistent or recurrent cervical lesions following total thyroidectomy and radioactive iodine (131I) therapy, conventional reoperation or additional 131I therapy often provides limited efficacy and may carry increased procedural risks. Methods: This single-center retrospective cohort study included 238 patients with persistent or recurrent cervical LNM after prior thyroidectomy and 131I therapy who were treated between January 2020 and January 2024. Among them, 118 patients received 125I seed implantation with thyroid-stimulating hormone (TSH) suppression. After 1:1 propensity score matching (PSM), 110 patients were included in each group for analysis. Short-term efficacy, thyroglobulin (Tg), radiologic changes, dosimetric consistency, survival outcomes, and adverse events were compared. Dynamic changes in Tg levels and the short-axis diameter of LNM were analyzed using a linear mixed-effects model. Results: After PSM, the partial response rates at 6 and 12 months were significantly higher in the 125I+TSH group. 125I+TSH therapy was an independent predictor of partial response. Patients in the 125I+TSH group exhibited a faster decline in Tg levels, with an average reduction of approximately 14.5% per month and a reduction in the short-axis diameter of LNM of 4.8% per month, corresponding to biochemical and morphological half-lives of 4.4 and 14.2 months, respectively. The overall incidence of adverse events was low. Conclusions: 125I seed implantation combined with TSH suppression therapy accelerates Tg decline and lesion regression and demonstrates good safety.

Indexed as

Iodine RadioisotopesLymphatic MetastasisThyroid NeoplasmsThyrotropinAdultCombined Modality TherapyFemaleHumansMaleMiddle AgedNeckRetrospective StudiesThyroidectomyTreatment OutcomeIodine-125Iodine RadioisotopesThyrotropin125I seed implantationcervical lymph node metastasisdifferentiated thyroid carcinomalocal controlsurvival analysisthyroid-stimulating hormone suppression

Identifiers

PMID42181184
PMCPMC13193980

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.