Radiation dermatitis following radioembolization for hepatocellular carcinoma: a case for prophylactic embolization of a patent falciform artery.
The most common use of radioembolization is in the treatment of primary and secondary liver tumors, and the most common radioisotope used is yttrium-90. This form of therapy has been proven to be successful in achieving tumor reduction and prolonging survival. Adverse events, although uncommon and usually self-limiting, have been reported. The present report describes a case of radiation dermatitis caused by shunting of (90)Y microspheres to the anterior abdominal wall via a patent falciform artery. When identified, prophylactic embolization of this patent artery may prevent the potential adverse event of radiation-induced dermatitis after radioembolization.
Leong
Quor M
QM
Department of General Surgery, Singapore General Hospital, Singapore. quormeng@gmail.com
Lai
Hee K
HK
Lo
Richard G H
RG
Teo
Terence K B
TK
Goh
Anthony
A
Chow
Pierce K H
PK
D006528:Carcinoma, Hepatocellular / Q000150:complications / Q000532:radiotherapy*; D004621:Embolization, Therapeutic / Q000379:methods*; D006801:Humans; D008113:Liver Neoplasms / Q000150:complications / Q000532:radiotherapy*; D008297:Male; D008875:Middle Aged; D011855:Radiodermatitis / Q000175:diagnosis* / Q000209:etiology*