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Advances in Radiotherapy
            & Nuclear Medicine                                       SIR-spheres Y-90 resin microspheres for HCC treatment




            Table 4. Adverse events within 6 months of SIRT
             System organ class               Preferred term                   Study participants (n=30)
                                                                   Number of adverse events  Number of participants n a  % b
            All                                                            43                 19          63.3
            Gastrointestinal disorders       All                           23                 13          43.3
                                             Abdominal distention          1                   1          3.3
                                             Abdominal pain                11                 11          36.7
                                             Gastritis                     1                   1          3.3
                                             Nausea                        2                   2          6.6
                                             Pain in the right lumbar region  1                1          3.3
                                             Pain in the right upper quadrant  2               2          6.6
                                             Vomiting                      5                   5          16.7
            General disorders and administration site   All                4                   4          13.3
            conditions                       Exhaustion                    1                   1          3.3
                                             Fatigue                       1                   1          3.3
                                             Fever                         1                   1          3.3
                                             Weight loss                   1                   1          3.3
            Hepatobiliary disorders          All                           1                   1          3.3
                                             Hepatic dysfunction           1                   1          3.3
            Investigations                   All                           4                   4          13.3
                                             Elevated liver enzymes        2                   2          6.6
                                             Decreased platelet count      2                   2          6.6
            Metabolism and nutrition disorders  All                        2                   2          6.6
                                             Anorexia                      2                   2          6.6
            Neoplasms: benign, malignant, and unspecified   All            6                   6          20
            (including cysts and polyps)     Lung metastasis               2                   2          6.6
                                             Lymph nodes metastasis        1                   1          3.3
                                             Progressive cirrhosis         1                   1          3.3
                                             Progressive disease           1                   1          3.3
                                             Abdominal nodal metastasis    1                   1          3.3
            Respiratory, thoracic, and mediastinal disorders  All          2                   2          6.6
                                             Cough                         1                   1          3.3
                                             Pleural effusion              1                   1          3.3
            Vascular disorders               All                           1                   1          3.3
                                             Hypertension                  1                   1          3.3
            Note:  Each participant could have more than one disorder.  %=(n/N) 100.
                                                  b
                a
            Abbreviation: SIRT: Selective internal radiation therapy.
            (n = 10), and resection (n = 2), after a median of 6 months   their study of 50 Asian patients, Woo et al. reported a CR
            (range 2–19 months) . The survival rate for our patients at   of 20% at a medium of 3 months after SIRT, according to
                            [8]
            6 months was 100%, and the tumor responses demonstrated   mRECIST . Similarly, Kim et al. reported a CR of 10%
                                                                       [11]
            a good clinical outcome consistent with other studies of   and 11.1% by mRECIST at 3 and 6 months, respectively,
            Asian patients with HCC at both 3 and 6 months after SIRT.   for 40 Korean patients with unresectable HCC treated with
            A study of 43 patients with unresectable HCC who were   SIRT . Thus, we confirmed that the effectiveness in patient
                                                                   [8]
            treated at a single center reported CRs of 23.8% and 38.5%   survival at 6 months after SIRT supports the continued use
            at 3 and 6 months, respectively, after SIRT using mRECIST;   of Y-90 resin microspheres for the treatment of unresectable
            however, no  6-month survival rate was reported . In   HCC in the Vietnamese population.
                                                     [20]

            Volume 1 Issue 1 (2023)                         6                       https://doi.org/10.36922/arnm.0385
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