Sequential surgery following Yttrium-90 resin microspheres combined with targeted therapy and immunotherapy for primary hepatocellular carcinoma: a case report

Abstract Primary hepatocellular carcinoma (HCC) is a prevalent malignancy in China, often diagnosed at intermediate to advanced stages, limiting the feasibility of curative surgical resection. Yttrium-90 selective internal radiation therapy (90Y-SIRT) has emerged as a novel treatment demonstrating p...

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Bibliographic Details
Main Authors: Fang-Yuan Hu, Jun Li, Mo-Yan Xiao, Chang-Yong Chen, Ke Ye, Ge-Wen Zhang
Format: Article
Language:English
Published: Springer 2025-07-01
Series:Discover Oncology
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Online Access:https://doi.org/10.1007/s12672-025-03014-z
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Summary:Abstract Primary hepatocellular carcinoma (HCC) is a prevalent malignancy in China, often diagnosed at intermediate to advanced stages, limiting the feasibility of curative surgical resection. Yttrium-90 selective internal radiation therapy (90Y-SIRT) has emerged as a novel treatment demonstrating potential for prolonging survival and inducing clinical remission in HCC patients. Its efficacy and safety have been progressively validated in clinical settings. This report describes a middle-aged male patient diagnosed with HCC accompanied by portal vein tumor thrombus. The treatment regimen comprised oral lenvatinib, intravenous sintilimab, and 90Y-SIRT. Successful sequential surgery was performed 7 months after 90Y-SIRT, and a 6-week follow-up showed no significant abnormalities. This case suggests that 90Y-SIRT, combined with other therapies, may be effective for patients with intermediate to advanced stage HCC.
ISSN:2730-6011