肝癌电子杂志 ›› 2021, Vol. 8 ›› Issue (4): 36-40.

• 综述 • 上一篇    下一篇

钇90放射性微球在肝脏恶性肿瘤中的应用及进展

牛惠敏1, 王志恒1, 高石鑫1, 曾骞1, 李颖慧1, 韩玥2,*   

  1. 1.海南省肿瘤医院介入科,海南海口 570312;
    2.国家癌症中心/国家肿瘤临床医学研究中心/中国医学科学院北京协和医学院肿瘤医院介入科,北京 100021
  • 收稿日期:2021-10-20 出版日期:2021-12-30 发布日期:2022-10-27
  • 通讯作者: *韩玥,E-mail:doctorhan@163.com
  • 作者简介:牛惠敏 主任医师 海南省肿瘤医院 介入科

Application and progress of Yttrium-90 therapy in liver malignant tumors

Niu Huimin1, Wang Zhiheng1, Gao Shixin1, Zeng Qian1, Li Yinghui1, Han Yue2,*   

  1. 1. Department of Intervention, Hainan Cancer Hospital, Haikou 570302, Hainan, China;
    2. Department of Intervention, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
  • Received:2021-10-20 Online:2021-12-30 Published:2022-10-27

摘要: 肝脏恶性肿瘤包括原发性肝癌及肝转移癌,具有恶性程度高、死亡率高的特点。目前对于中晚期肝脏恶性肿瘤等不可手术患者,局部治疗是控制疾病进展的重要治疗手段。钇90(Yttrium-90,90Y)放射性微球是基于传统的经动脉化疗栓塞术(transarterial chemoembolization,TACE),结合肿瘤近程精准放射治疗技术衍生而来。相对于传统TACE治疗,90Y具有肿瘤反应率高、不良反应低以及生活质量好等优点。本文对90Y放射性微球在肝脏恶性肿瘤的应用及进展进行综述。

关键词: 钇90放射性微球, 放射介入术, 选择性内放射治疗, 肝癌

Abstract: Liver malignant tumor includes primary liver cancer and liver metastatic cancer. Liver malignant tumor has the characteristics of high malignancy and high mortality. At present, for patients with advanced liver malignant tumors, local treatment is an important treatment method to control the progression of the disease. Yttrium-90 (90Y) radiation microspheres are derived from the traditional transarterial chemoembolization (TACE) treatment technology and combined with the tumor short-range precision radiotherapy technology. Compared with traditional TACE treatment, 90Y has the characteristics of high tumor response rate, low adverse response and better quality of life. This article reviews the application progress of 90Y therapy in liver malignant tumors.

Key words: Yttrium-90, Interventional radiology, Selective internal radiation therapy, Liver cancer