Sorafenib Reduced Significantly Heptopulmonary Shunt in a Large Hepatocelullar Carcinoma

被引:4
作者
d'Abadie, Philippe [1 ]
Borbath, Ivan [2 ]
Goffette, Pierre [3 ]
Amini, Nadia [3 ]
Lhommel, Renaud [1 ]
机构
[1] Catholic Univ Louvain, Clin Univ St Luc, Dept Nucl Med, Ave Hippocrate 10, B-1200 Brussels, Belgium
[2] Catholic Univ Louvain, Clin Univ St Luc, Dept Gastroenterol, Brussels, Belgium
[3] Catholic Univ Louvain, Clin Univ St Luc, Dept Intervent Radiol, Brussels, Belgium
关键词
radioembolization; hepatocellular carcinoma; sorafenib; RADIOEMBOLIZATION; Y-90;
D O I
10.1097/RLU.0000000000002369
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
An 81-year-old man with a large hepatocellular carcinoma was referred in our institution for Y-90 radioembolization (RE). The preliminary arteriography using Tc-99m-macroaggregate albumin demonstrated an important hepatopulmonary shunt. It was an exclusion criterion for RE due to high risks of lung radiations. Then, the patient was treated with sorafenib during 4 months, stopped because of grade 3 toxicity. A second liver arteriography was performed, and Tc-99m-macroaggregate albumin imaging showed an important reduction of the lung shunt. Transient therapy with sorafenib permitted to close the lung shunt and was a bridge for RE.
引用
收藏
页码:70 / 71
页数:2
相关论文
共 8 条
[1]   Angiogenesis Inhibitors for the Treatment of Hepatocellular Carcinoma [J].
Berretta, Massimiliano ;
Rinaldi, Luca ;
Di Benedetto, Fabrizio ;
Lleshi, Arben ;
De Re, Valli ;
Facchini, Gaetano ;
De Paoli, Paolo ;
Di Francia, Raffaele .
FRONTIERS IN PHARMACOLOGY, 2016, 7
[2]  
Huang MS, 2004, WORLD J GASTROENTERO, V10, P825
[3]   Transarterial Radioembolization with Yttrium-90 for the Treatment of Hepatocellular Carcinoma [J].
Kallini, Joseph Ralph ;
Gabr, Ahmed ;
Salem, Riad ;
Lewandowski, Robert J. .
ADVANCES IN THERAPY, 2016, 33 (05) :699-714
[4]   Recommendations for radioembolization of hepatic malignancies using yttrium-90 microsphere brachytherapy: A consensus panel report from the Radioembolization Brachytherapy Oncology Consortium [J].
Kennedy, Andrew ;
Nag, Subir ;
Salem, Riad ;
Murthy, Ravi ;
McEwan, Alexander J. ;
Nutting, Charles ;
Benson, Al, III ;
Espat, Joseph ;
Bilbao, Jose Ignacio ;
Sharma, Ricky A. ;
Thomas, James P. ;
Coldwell, Douglas .
INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS, 2007, 68 (01) :13-23
[5]   Changes in Arterioportal Shunts in Hepatocellular Carcinoma Patients with Portal Vein Thrombosis Who Were Treated with Chemoembolization Followed by Radiotherapy [J].
Oh, Dongryul ;
Shin, Sung Wook ;
Park, Hee Chul ;
Cho, Sung Ki ;
Lim, Do Hoon ;
Paik, Seung Woon .
CANCER RESEARCH AND TREATMENT, 2015, 47 (02) :251-258
[6]   Selective Internal Radiation Therapy of Hepatocellular Carcinoma: Potential Hepatopulmonary Shunt Reduction after Sorafenib Administration [J].
Theysohn, Jens M. ;
Schlaak, Joerg F. ;
Mueller, Stefan ;
Ertle, Judith ;
Schlosser, Thomas W. ;
Bockisch, Andreas ;
Lauenstein, Thomas C. .
JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, 2012, 23 (07) :949-952
[7]   Preclinical overview of sorafenib, a multikinase inhibitor that targets both Raf and VEGF and PDGF receptor tyrosine kinase signaling [J].
Wilhelm, Scott M. ;
Adnane, Lila ;
Newell, Philippa ;
Villanueva, Augusto ;
Llovet, Josep M. ;
Lynch, Mark .
MOLECULAR CANCER THERAPEUTICS, 2008, 7 (10) :3129-3140
[8]   Radiation Pneumonitis Following Yttrium-90 Radioembolization: Case Report and Literature Review [J].
Wright, Chadwick L. ;
Werner, Jeff D. ;
Tran, Jerry M. ;
Gates, Vanessa L. ;
Rikabi, Ali A. ;
Shah, Manisha H. ;
Salem, Riad .
JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, 2012, 23 (05) :669-674