Brief reportRadiation Dermatitis following Radioembolization for Hepatocellular Carcinoma: A Case for Prophylactic Embolization of a Patent Falciform Artery
Section snippets
Discussion
We describe a case of 90Y-induced anterior abdominal wall radiation dermatitis via a patent falciform artery. Embolization of chemoembolic agents into the terminal capillaries of the falciform artery have been described in the literature, resulting in a similar development of supraumbilical skin rash, epigastric pain, and skin necrosis (10). Failure to embolize this artery may also result in extrahepatic accumulation of 99mTc macroaggregated albumin in the anterior abdominal wall (11).
References (15)
- et al.
Selective internal radiation therapy for nonresectable hepatocellular carcinoma with intra-arterial infusion of 90yttrium microspheres
Int J Radiat Oncol Biol Phys
(1998) - et al.
Radiation-induced liver disease after radiotherapy for hepatocellular carcinoma: clinical manifestation and dosimetric description
Radiother Oncol
(2002) - et al.
Radiation pneumonitis after selective internal radiation treatment with intraarterial 90yttrium-microspheres for inoperable hepatic tumors
Int J Radiat Oncol Biol Phys
(1995) - et al.
A novel approach to brachytherapy in hepatocellular carcinoma using a phosphorous32 (32P) brachytherapy delivery device—a first-in-man study
Int J Radiat Oncol Biol Phys
(2007) - et al.
Angiographic considerations in patients undergoing liver-directed therapy
J Vasc Interv Radiol
(2005) - et al.
Nonhepatic arteries originating from the hepatic arteries: angiographic analysis in 250 patients
J Vasc Interv Radiol
(2006) - et al.
An experimental study and clinical pilot trials on yttrium-90 glass microspheres through the hepatic artery for treatment of primary liver cancer
Cancer
(1993)
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2015, Diagnostic and Interventional ImagingCitation Excerpt :These generally resolve spontaneously or with analgesia [43]. A few cases of skin necrosis have, however, been described following hepatic chemoembolization procedures [45–47]. The 99Tc scintigram must be examined carefully as any uptake in the abdominal wall due to spheres spreading into the FA is usually low and may require multiplanar reconstructions in a SPECT CT examination [48].
Extrahepatic visualization in the distribution of falciform artery in posttreatment Bremsstrahlung images after radioembolization with <sup>90</sup>Y microspheres
2014, Revista Espanola de Medicina Nuclear e Imagen MolecularSupraumbilical rash caused by nontarget radioembolization to the falciform artery
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None of the authors have identified a conflict of interest.