If iodine 131 is ineffective for thyroid cancer metastatic lymph, other methods of treatment can be chosen, such as surgery and medication. 1. Surgery: If iodine 131 is not effective, surgery can be used to directly remove the cancerous part and the metastatic lymph nodes together. This is the fundamental treatment for thyroid cancer. 2. Medications: Western medicines can be used for targeted treatment, which can help to improve the symptoms, such as propylthiouracil, methimazole, etc. It is recommended to go to hospital for systematic treatment in time. It is recommended to go to the hospital for systematic treatment in time, choose the appropriate treatment plan according to your specific situation under the guidance of physician, and use the medicine strictly according to the doctor’s prescription, so as to avoid delaying the condition and causing serious consequences. In the diet should also pay more attention to light diet, avoid spicy food stimulation.