Liver resection after selective internal radiotherapy (SIRT)
نویسندگان
چکیده
منابع مشابه
Selective Internal Radiation Therapy (SIRT) as Conversion Therapy for Unresectable Primary Liver Malignancies.
BACKGROUND Many patients with primary liver cancers are not candidates for surgery, and systemic therapies are seldom effective. Selective internal radiation therapy (SIRT) has been shown to obtain partial and even complete response in unresectable primary tumors. As a "side effect", SIRT can induce contra-lateral liver hypertrophy. Tumor response to SIRT can be sufficient to allow disengagemen...
متن کاملGastroduodenal ulceration after selective internal radiation therapy of liver tumor.
Image-guided interstitial brachytherapy is used for the treatment of primary and secondary liver tumors. Millions of nonbiodegradable yttrium-90 (90Y)-imprinted microspheres with a diameter of 29– 35 μmare selectively infused by a catheter into the branch of the hepatic artery supplying the tumor. Thereby, a radiation dose of 30–60Gy can be applied to the tumor tissue. 90Y is a beta-emitter wit...
متن کاملSelective Internal Radiotherapy (SIRT) In the Management ofChemotherapy Refractory Cancers with Liver PredominantMetastasis: Results from a Tertiary Care Hospital in WesternAustralia
The technical details of this procedure are well described elsewhere [3]. 90Y-labelled microspheres are injected via a temporary hepatic artery catheter, placed percutaneously through the brachial or femoral artery. The dose and activity of 90Y-labelled microspheres is adjusted according to tumour volume, lung shunting fraction, and patient body surface area. Analysis of the distribution of mic...
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A 39 year-old male patient was admitted with complaints of weakness and right upper quadrant pain. Abdominal CT and FDG-PET/CT showed multiple nodular lesions involving both liver lobes, the largest of which was 4x2 cm in diameter and localized to the sixth segment. Further, multiple lymph nodes with an average of 2.5 cm diameter including necrotic components were also detected in the porta hep...
متن کاملMonitoring of Total and Regional Liver Function after SIRT
Selective internal radiation therapy (SIRT) is a promising treatment modality for advanced hepatocellular carcinoma or metastatic liver cancer. SIRT is usually well tolerated. However, in most patients, SIRT will result in a (temporary) decreased liver function. Occasionally patients develop radioembolization-induced liver disease (REILD). In case of a high tumor burden of the liver, it could b...
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ژورنال
عنوان ژورنال: HPB
سال: 2016
ISSN: 1365-182X
DOI: 10.1016/j.hpb.2016.02.449