Discussion
Diagnosis With Brief Discussion
- Chief Complaint
- Progressive dyspnea (onset: 1 MA)
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- Past History
- HCC
- Reviewy
- Radiation pneumonitis after TARE
Transarterial radioembolization (TARE)
Increasingly used treatment option for primary and metastatic liver cancers
Intraarterial delivery of microspheres containing yttrium-90
Similar to those of TACE, but less selective fashion
Excessive pulmonary radiation : more than 30 Gy in a single session or more than 50 Gy cumulatively irradiation
May cause radiation pneumonitis
Incidence is less than 1%
Manifests 4-6 weeks after the procedure
Non-productive cough, dyspnea, and fever
TOC: corticosteroids.
Typical radiologic pattern : “bat-wing” appearance
Chronic phase: progresses to radiation fibrosis, linear scarring, volume loss, traction bronchiectasis
- Keywords
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