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消融性放射性栓塞治疗肝转移性肾细胞癌所致机化性肺炎

Organizing Pneumonia Induced by Ablative Radioembolization for the Treatment of Hepatic Metastatic Renal Cell Carcinoma.

作者信息

Devcic Zlatko, Rojas Carlos A, Elboraey Mohamed, Toskich Beau

机构信息

Division of Interventional Radiology, Mayo Clinic Florida, 4500 San Pablo Road, Jacksonville, FL 32224, USA.

Department of Diagnostic Radiology, Mayo Clinic Florida, 4500 San Pablo Road, Jacksonville, FL 32224, USA.

出版信息

J Clin Imaging Sci. 2019 Oct 11;9:42. doi: 10.25259/JCIS_104_2019. eCollection 2019.

Abstract

Organizing pneumonia is a recognized complication after external beam radiotherapy of breast and lung cancer but has not been described after radioembolization. A 67-year-old female who underwent ablative trans-arterial radioembolization for the treatment of hepatic metastatic renal cell carcinoma adjacent to the diaphragm presented with computed tomography findings of asymptomatic organizing pneumonia in the lower lobes. A follow-up computed tomography 8 months after conservative management demonstrated near-total resolution of the previous pulmonary parenchymal disease. The patient continues to remain asymptomatic and shows no evidence of residual tumor 10 months after radioembolization.

摘要

机化性肺炎是乳腺癌和肺癌外照射放疗后一种公认的并发症,但放射性栓塞后尚未见相关报道。一名67岁女性因治疗临近膈肌的肝转移性肾细胞癌接受了消融性经动脉放射性栓塞治疗,其计算机断层扫描结果显示下叶有无症状性机化性肺炎。保守治疗8个月后的随访计算机断层扫描显示,先前的肺实质疾病几乎完全消退。放射性栓塞10个月后,患者仍无症状,也没有残留肿瘤的迹象。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f668/6800412/75e7b54a6705/JCIS-9-42-g001.jpg

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