Radioembolization for hepatocellular carcinoma: what clinicians need to know.

Jin Woo Choi, Hyo-Cheol Kim
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引用次数: 5

Abstract

Transarterial radioembolization (TARE) with yttrium 90 (90Y) has been used in the management of hepatocellular carcinoma (HCC) for more than 10 years in Korea. There are two types of 90Y radioactive microspheres available, namely, glass and resin microspheres, with comparable clinical outcomes. In general, TARE outperforms transarterial chemoembolization regarding post-embolization syndrome, time to progression, tumor downsizing for liver transplantation, and hospitalization stay. Although TARE is commonly recommended for patients with unresectable large HCCs, it can be an alternative to or performed in combination with ablation, surgical resection, and systemic treatment. This review aimed to address 90Y radioactive microspheres, patient selection, clinical outcomes, simulation tests, radioembolization procedures, follow-up imaging, and complications.

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肝细胞癌的放射栓塞治疗:临床医生需要知道什么。
经动脉放射栓塞(TARE)与钇90 (90Y)已被用于治疗肝细胞癌(HCC)在韩国超过10年。有两种类型的90Y放射性微球可用,即玻璃微球和树脂微球,临床结果相当。总的来说,TARE在栓塞后综合征、进展时间、肝移植肿瘤缩小和住院时间方面优于经动脉化疗栓塞。虽然TARE通常被推荐用于不可切除的大肝癌患者,但它可以替代消融、手术切除和全身治疗,或与之联合进行。本综述旨在探讨90Y放射性微球、患者选择、临床结果、模拟试验、放射栓塞手术、随访成像和并发症。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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