Department of Radiology, University Medical Center Utrecht, The Netherlands.
Ann Hepatol. 2011 Jul-Sep;10(3):349-54.
Patients with malignant tumors originating from the biliary tree have a poor prognosis, since only a minority of tumors can be resected and most palliative regimens have shown only limited success. We present two patients with unresectable tumors, who were treated with trans-arterial (90)yttrium radioembolization: a patient with an infiltrating gallbladder carcinoma and a patient with an extensive intrahepatic cholangiocarcinoma. In both cases the treatment was technically feasible, effective in controlling tumor growth, and without significant side effects. In conclusion, the presented cases demonstrate the potential of (90)yttrium radioembolization as a palliative treatment option for malignant tumors of the biliary tree.
胆道来源的恶性肿瘤患者预后较差,因为只有少数肿瘤可以切除,而且大多数姑息治疗方案仅取得有限的成功。我们介绍了两名无法切除肿瘤的患者,他们接受了经动脉(90)钇放射性栓塞治疗:一名患者患有浸润性胆囊癌,另一名患者患有广泛的肝内胆管癌。在这两种情况下,治疗都是技术上可行的,有效控制了肿瘤生长,且没有明显的副作用。总之,所介绍的病例证明了(90)钇放射性栓塞作为胆道恶性肿瘤姑息治疗选择的潜力。