2021 TDDW
Symposium (VIII) INTERVENTIONAL ONCOLOGY IN DIGESTIVE MEDICINE
Y90 FOR CURATIVE INTENT IN HCC Rheun-Chuan Lee Division of Abdominal Radiology, Department of Radiology, Taipei Veterans General Hospital, Taipei, Taiwan Radioembolization has historically been employed in the salvage setting for the treatment of unresectable HCC. However, application of segmental, high dose radioembolization or radiation segmentectomy higher radiation doses can be safely delivered, translating to robust and consistent response rates. The focused delivery also minimizes risk of collateral parenchymal damage. This approach could be considered potentially curative based on the same rationale
as resection, radiofrequency ablation, and transplantation in recent studies. For those who exceed surgical criteria, radioembolization can be used to reduce the tumor burden and increase sufficient future liver remnant thereby enabling patients to meet the conditions for hepatectomy or liver transplantation. It provides the possibility of long-term survival in a substantial although selected subgroup of patients with otherwise limited treatment options.
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