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177Lu-FAPI-2286 Therapy in a Patient With Radio-iodine Refractory Papillary Thyroid Carcinoma: A Favorable Clinical and Biochemical Response.

Clinical nuclear medicine 2025 Vol.50(5) p. e315-e316

Raeisi N, Saber Tanha A, Gozashti MH, Kiamanesh Z, Aryana K

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We report a 38-year-old man with radio-iodine refractory papillary thyroid carcinoma (RAIR PTC) who experienced significant relief from symptoms and showed a positive biochemical response after underg

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APA Raeisi N, Saber Tanha A, et al. (2025). 177Lu-FAPI-2286 Therapy in a Patient With Radio-iodine Refractory Papillary Thyroid Carcinoma: A Favorable Clinical and Biochemical Response.. Clinical nuclear medicine, 50(5), e315-e316. https://doi.org/10.1097/RLU.0000000000005728
MLA Raeisi N, et al.. "177Lu-FAPI-2286 Therapy in a Patient With Radio-iodine Refractory Papillary Thyroid Carcinoma: A Favorable Clinical and Biochemical Response.." Clinical nuclear medicine, vol. 50, no. 5, 2025, pp. e315-e316.
PMID 40179304

Abstract

We report a 38-year-old man with radio-iodine refractory papillary thyroid carcinoma (RAIR PTC) who experienced significant relief from symptoms and showed a positive biochemical response after undergoing a single cycle of 177Lu-FAPI-2286 therapy. A pretreatment 99mTc-FAPI-46 scan showed diffuse uptake throughout both lungs and subsequent serial post-treatment scans demonstrated sustained uptake in pulmonary metastases. After treatment, there was a significant decline in serum thyroglobulin levels, accompanied by a remarkable improvement in symptoms, leading to near-complete resolution. This case highlights the potential of 177Lu-FAPI-2286 therapy as an effective treatment option for RAIR PTC patients.

MeSH Terms

Humans; Male; Adult; Thyroid Neoplasms; Thyroid Cancer, Papillary; Iodine Radioisotopes; Carcinoma, Papillary; Treatment Outcome; Carcinoma; Lutetium; Radioisotopes

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