A First Report of Radioembolization for Hepatic Metastases From Ocular Melanoma

被引:54
作者
Kennedy, Andrew S. [1 ]
Nutting, Charles [2 ]
Jakobs, Tobias [3 ]
Cianni, Roberto [4 ]
Notarianni, Ermanno [4 ]
Ofer, Amos [5 ]
Beny, Alex [6 ]
Dezarn, William A. [1 ]
机构
[1] Wake Radiol Oncol, Cary, NC 27518 USA
[2] Swedish Med Ctr, Denver, CO USA
[3] Univ Munich, LMU, Dept Radiol, Munich, Germany
[4] SM Goretti Hosp, Latina, Italy
[5] Rambam Hlth Care Campus, Intervent Radiol, Haifa, Israel
[6] Rambam Hlth Care Campus, Med Oncol, Haifa, Israel
关键词
Yttrium-90; Microsphere; Liver; Choroidal; Melanoma; Metastases; Uveal; Hepatic; Brachytherapy; UNRESECTABLE HEPATOCELLULAR-CARCINOMA; SECONDARY LIVER MALIGNANCIES; ART BRACHYTHERAPY TREATMENT; COMS RANDOMIZED-TRIAL; INTRAHEPATIC YTTRIUM-90 MICROSPHERES; LARGE CHOROIDAL MELANOMA; UVEAL MELANOMA; Y-90; MICROSPHERES; INTRAOCULAR MELANOMA; POLYVINYL SPONGE;
D O I
10.1080/07357900802620893
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Background: Ocular melanoma (OM) metastasizes to the liver and is rapidly fatal despite aggressive therapy. Yttrium-90 microspheres (radioembolization) delivered via the hepatic artery is an established and effective approach for primary and metastatic hepatic tumors, although 90Y use in OM has not been reported previously. Methods: A retrospective review was performed for all patients with OM who received radioembolization at 5 centers. Results: 11 patients received 12 treatments with a median activity of 1.55 GBq delivered per treatment. Toxicity was minimal, with PET/CT at 3 months posttreatment showing a response in all patients; 1 patient had a complete response. Conclusions: Radioembolization can control hepatic metastases of OM with very few side effects.
引用
收藏
页码:682 / 690
页数:9
相关论文
共 60 条
[1]   Phase I/II randomized trial of intrahepatic arterial infusion chemotherapy with cisplatin and chemoembolization with cisplatin and polyvinyl sponge in patients with ocular melanoma metastatic to the liver [J].
Agarwala, SS ;
Panikkar, R ;
Kirkwood, JM .
MELANOMA RESEARCH, 2004, 14 (03) :217-222
[2]  
Alexander HR, 2000, CLIN CANCER RES, V6, P3062
[4]  
BEDIKIAN AY, 1995, CANCER, V76, P1665, DOI 10.1002/1097-0142(19951101)76:9<1665::AID-CNCR2820760925>3.0.CO
[5]  
2-J
[6]  
BLANCHARD RJ, 1965, CANCER-AM CANCER SOC, V18, P375, DOI 10.1002/1097-0142(196503)18:3<375::AID-CNCR2820180314>3.0.CO
[7]  
2-U
[8]   TREATMENT OF EXPERIMENTAL TUMORS - UTILIZATION OF RADIOACTIVE MICROSPHERES [J].
BLANCHARD, RJ ;
GROTENHUIS, I ;
LAFAVE, JW ;
FRYE, CW ;
PERRY, JF .
ARCHIVES OF SURGERY, 1964, 89 (02) :406-410
[9]  
BREEDIS C, 1954, AM J PATHOL, V30, P969
[10]   TREATMENT OF HEPATIC METASTASES IN OCULAR MELANOMA - EMBOLIZATION OF THE HEPATIC-ARTERY WITH POLYVINYL SPONGE AND CISPLATIN [J].
CARRASCO, CH ;
WALLACE, S ;
CHARNSANGAVEJ, C ;
PAPADOPOULOS, NEJ ;
PATT, YZ ;
MAVLIGIT, GM .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1986, 255 (22) :3152-3154