Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Blesl, A; Brcic, I; Jaschke, W; Öfner, D; Fickert, P; Plank, J.
Chronic gastric ulcer disease complicating selective internal radiation therapy (SIRT) in a patient with cholangiocellular carcinoma.
Z Gastroenterol. 2019; 57(11):1304-1308
Doi: 10.1055/a-1016-3698
(- Case Report)
Web of Science
PubMed
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- Führende Autor*innen der Med Uni Graz
- Blesl Andreas
- Co-Autor*innen der Med Uni Graz
- Brcic Iva
- Fickert Peter
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- Abstract:
- Selective internal radiation therapy (SIRT) is a therapeutic option for primary and metastatic liver tumors. Microspheres containing Yttrium 90, a beta-emitting radionuclide, are administered into the hepatic artery allowing selective internal radiation of a liver tumor. SIRT-related complications may appear due to migration of the radiation microspheres to organs distant from the tumor site. In order to prevent these complications, unintended non target embolization of Yttrium microspheres has to be avoided. However, data from external-beam radiation therapy (EBRT) suggests that the stomach/small bowel may actually be less radiosensitive than the liver. Gastric ulcers, a well-known SIRT-related complication, may therefore not only be caused by local radiation but also by unusual accumulation of microspheres in the submucosa and small vessel damage. We herein report a more than two- year-long persisting, highly symptomatic, non-neoplastic ulceration of the gastric antrum leading to pyloric stenosis caused by SIRT therapy with Yttrium 90 microspheres for the treatment of intrahepatic cholangiocellular carcinoma. The chronic courses of the ulcer disease together with the specific histological features highlight the pivotal role of radiation-induced small vessel damage in SIRT-induced adverse events. © Georg Thieme Verlag KG Stuttgart · New York.
- Find related publications in this database (using NLM MeSH Indexing)
- Bile Duct Neoplasms - pathology
- Bile Duct Neoplasms - radiotherapy
- Bile Ducts, Intrahepatic -
- Cholangiocarcinoma - pathology
- Cholangiocarcinoma - radiotherapy
- Female -
- Hepatic Artery -
- Humans -
- Microspheres -
- Middle Aged -
- Radiation Injuries - diagnosis
- Stomach Ulcer - diagnosis
- Stomach Ulcer - etiology
- Tomography, Emission-Computed, Single-Photon -
- Treatment Outcome -
- Yttrium Radioisotopes - adverse effects
- Yttrium Radioisotopes - therapeutic use
- Find related publications in this database (Keywords)
- selective internal radiation therapy
- cholangiocellular carcinoma
- Yttrium 90 microspheres
- gastric ulceration