1. Punctate Radiation Dermatitis of the Foot and Ankle Caused by Distal Embolization of 90Y Microspheres During Liver Directed Therapy.
- Author
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Nia BB, Nia ES, Avery RJ, Kuo PH, and Hennemeyer CT
- Subjects
- Adenocarcinoma pathology, Adult, Humans, Liver Neoplasms radiotherapy, Liver Neoplasms secondary, Male, Radiometry, Stomach Neoplasms pathology, Yttrium Radioisotopes therapeutic use, Ankle radiation effects, Dermatitis etiology, Embolization, Therapeutic adverse effects, Foot radiation effects, Microspheres, Radiation Injuries etiology, Yttrium Radioisotopes adverse effects
- Abstract
A 41-year-old man with gastric adenocarcinoma presented with hepatic metastases. The metastases were refractory to systemic chemotherapy, so radioembolization with Y microspheres was performed. Because of stasis or saturation of the tumor with embolic particles, 79% of the microspheres were injected. At follow-up, the patient complained of "red bumps" that had developed on his right foot/ankle the day after the radioembolization. Because a portion of the dose was still in the catheter when withdrawn from the right femoral artery, the interventional radiologist used a Geiger counter to confirm radioactivity in the cutaneous lesions and thus the distal embolization of the microspheres.
- Published
- 2017
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