Semin Liver Dis 2014; 34(04): 465-468
DOI: 10.1055/s-0034-1394145
Diagnostic Problems in Hepatology
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Histological Changes in Nontumoral Liver Secondary to Radioembolization of Hepatocellular Carcinoma with Yttrium 90-impregnated Microspheres: Report of Two Cases

Authors

  • Sadhna Dhingra

    1   Department of Pathology and Laboratory Medicine, The University of Texas Health Science Center, Houston, Texas
  • Myron Schwartz

    2   Recanati-Miller Transplantation Institute, Mount Sinai Health System, New York, New York
  • Edward Kim

    3   Department of Vascular and Interventional Radiology, Mount Sinai Health System, New York, New York
  • Huaibin Mabel Ko

    4   The Lillian and Henry M. Stratton-Hans Popper Department of Pathology, Mount Sinai Health System, New York, New York
  • Stephen C. Ward

    4   The Lillian and Henry M. Stratton-Hans Popper Department of Pathology, Mount Sinai Health System, New York, New York
  • M. Isabel Fiel

    4   The Lillian and Henry M. Stratton-Hans Popper Department of Pathology, Mount Sinai Health System, New York, New York
  • Swan N. Thung

    4   The Lillian and Henry M. Stratton-Hans Popper Department of Pathology, Mount Sinai Health System, New York, New York
Further Information

Publication History

Publication Date:
04 November 2014 (online)

Preview

Abstract

Transarterial radioembolization (TARE) with yttrium-90 is a minimally invasive locoregional therapy for hepatocellular carcinoma (HCC), and involves selective delivery of glass or resin microspheres impregnated with radioactive yttrium-90 into small arteries preferentially supplying the tumor for tumoricidal effect thus sparing the nontumoral liver, or into lobar artery to induce atrophy and contralateral hypertrophy. Clinically, post-TARE a small proportion of cases develop radioembolization-induced liver disease. Histological changes of TARE on nontumoral liver parenchyma have not been well characterized. Herein, we report two cases of liver resections for HCC post-TARE, and describe the histological changes in nontumoral liver parenchyma.