Purpose . We sought to evaluate our experience using yttrium-90 ( 90 Y) resin microsphere hepatic radioembolization as salvage therapy for liver-dominant metastatic colorectal cancer (mCRC). Methods . A retrospective review of consecutive patients with unresectable mCRC who were treated with 90 Y after failing first and second line systemic chemotherapy. Demographics, treatment dose, biochemical and radiographic response, toxicities, and survival were examined. Results . Fifty-one patients underwent 90 Y treatments of which 69% were male. All patients had previously undergone extensive chemotherapy, 31% had undergone previous liver-directed therapy and 24% had a prior liver resection. Using RECIST criteria, either stable disease or a partial response was seen in 77% of patients. Overall median survival from the time of first 90 Y treatment was 10.2 months (95% CI = 7.5–13.0). The absence of extrahepatic disease at the time of treatment with 90 Y was associated with an improved survival, median survival of 17.0 months (95% CI = 6.4–27.6), compared to those with extrahepatic disease at the time of treatment with 90 Y, 6.7 months (95% CI = 2.7–10.6 Conclusion: 90 Y therapy is a safe locoregional therapy that provides an important therapeutic option to patients who have failed first and second line chemotherapy and have adequate liver function and performance status.
Nace, G. W., Steel, J. L., Amesur, N., Zajko, A., Nastasi, B. E., Joyce, J., … Gamblin, T. C. (2011). Yttrium-90 Radioembolization for Colorectal Cancer Liver Metastases: A Single Institution Experience. International Journal of Surgical Oncology, 2011, 1–9. https://doi.org/10.1155/2011/571261