Paraneoplastic Diarrhea From Medullary Thyroid Carcinoma Resolved With Yttrium-90 Radioembolization of Liver Metastases.

JCEM case reports Pub Date : 2024-07-29 eCollection Date: 2024-08-01 DOI:10.1210/jcemcr/luae103
Sarah Hamidi, Armeen Mahvash, Mimi I Hu
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Abstract

Medullary thyroid carcinoma (MTC) can often have an indolent course despite distant metastatic disease. Additionally, given that metastatic MTC is incurable and systemic therapies have non-negligeable toxicities, localized treatments are often favored in presence of oligo-progressive disease. Transarterial radioembolization (TARE) with yttrium-90 (Y90) has emerged as a safe and efficacious treatment for nonresectable primary and metastatic liver tumors, yet data supporting its use in metastatic MTC are limited. We present the case of a patient with hereditary MTC and large bilobar liver metastases who demonstrated tumor response and resolution of their paraneoplastic diarrhea following TARE with Y90 microspheres.

甲状腺髓样癌引起的副肿瘤性腹泻通过钇-90放射性栓塞肝转移灶得以缓解
尽管有远处转移性疾病,但甲状腺髓样癌(MTC)的病程往往比较缓慢。此外,鉴于转移性甲状腺髓样癌无法治愈,而全身疗法又有不可忽视的毒性,因此在疾病呈少进展状态时,局部治疗往往更受青睐。使用钇-90(Y90)的经动脉放射栓塞术(TARE)已成为治疗不可切除的原发性和转移性肝肿瘤的一种安全有效的方法,但支持其用于转移性 MTC 的数据却很有限。我们介绍了一例患有遗传性 MTC 和巨大双叶肝转移瘤的患者的病例,该患者在接受 Y90 微球 TARE 治疗后,肿瘤出现了反应,副肿瘤性腹泻也得到了缓解。
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