Radioembolization vs Y90: Are they the same? Results?

Posted by shorthairptr66 @shorthairptr66, Dec 26, 2024

I was just told due to the location of the mass they do NOT want to do surgery. The Dr said that next step is a biopsy than what's called radioembolization beads. Every time I researched it I see (in this forum too) the word Y90.

What's the difference? Is Y90 what is in the beads?

I'm hearing very positive results. Nothing is a sure thing 100% but I'm hearing 70% and up.

Tell me your results..

Interested in more discussions like this? Go to the Liver Cancer Support Group.

Profile picture for shorthairptr66 @shorthairptr66

WOW you know what a German Shorthaired Pointer is 😂. Yes, that's what shorthairptr means. My family had one for the past 50+ years. My dog is not a GSP because I don't have a yard and we all know how those dogs need to run. My mixed is 55lbs and I walk him a few times a day. He's my concern. When I had the biopsy 2 weeks ago I paid a neighbor to take care of him. She will do it again if I asked.

As far as the fatigue thanks for the explanation. Everyone mentions fatigue but doesn't go into details. My last CT Scan has the tumor around 3½". Next week I see a Dr that will discuss the next steps and she also does Y90.

Many years ago I said if I ever got cancer there's certain things I will not do (full body chemo or radiation). Y90 seems like it only attacks the tumor while leaving the rest of the body / healthy cells alone. That sounds like a plan .

Living along my concern is dog and me getting around. I guess for a while I'll order food to be delivered.

Thanks.. helps a lot

Jump to this post

The Y90 is very good at targeted radiation. The mapping shows the Dr what vessel to put it in and that vessel feeds the tumor only with minor surrounding tissue damage. I guess you have to weigh your options if you have any. Whole body chemo should be the last choice.

If your dog is well behaved and doesn't drag you around you should be able to take him out to do his business but everyone is different. Good luck, keep in touch.

REPLY
Profile picture for dave1952 @dave1952

The Y90 is very good at targeted radiation. The mapping shows the Dr what vessel to put it in and that vessel feeds the tumor only with minor surrounding tissue damage. I guess you have to weigh your options if you have any. Whole body chemo should be the last choice.

If your dog is well behaved and doesn't drag you around you should be able to take him out to do his business but everyone is different. Good luck, keep in touch.

Jump to this post

They want to run more tests. MRI, PET scan and another blood work.

Did you have a MRI and got long was it? I hate MRI s

REPLY

I would like to ask for detailed information about Transarterial Chemoembolization (TACE) or Transarterial Radioembolization (TARE), also known as Selective Internal Radiation Therapy (SIRT), for my uncle, who was recently diagnosed with liver cancer. Does this procedure have any side effects on the surrounding liver area when it is performed?

REPLY

y90 treatment in November 2023 for a 3.6cm single tumor that was inoperable. I have had follow up MRIs every three months with another due next month (May 2025). So far every one has shown a hole where the tumor was and the hole has gotten progressively smaller. Bloodwork remains totally normal. I am currently on the transplant list with exception points. It has been 18 months since I was diagnosed. The y90 treatment went well with limited side effects other than the medication taken for 2 weeks after the procedure. Had the "referred" shoulder pain for about a month. Finally went to a masseuse and it started to dissipate. Good luck to all.

REPLY
Profile picture for dave1952 @dave1952

I had Y90 for some pretty substantial (6 plus CM) liver tumors. Recovery was difficult with overwhelming fatigue and low grade fever every night for 11 weeks. 3 month MRI showed 98-99% of the treated tumors were dead. My Dr couldn't have been more pleased. So, recovery of the Y90 may be somewhat long and uncomfortable, the results were worth it for me. Most people do not have that long for recovery.

Jump to this post

I have a 10cm mass. I was told after the seeds were implanted that I still need a liver resection or the mass will collapse. They did NOT tell me this prior to the seed implementation. They said that the seeds will prevent it from bleeding out or getting bigger. It was an entire month to recover. The instant the 1M seeds were implanted I felt instant back pain as I was partially sedated. The second day I felt like I was having a heart attack. I had wrap around chest and back pain. The nurse came into my room and he stated, "Your not in here for that!" And he leaves the room. I honestly thought I was having a heart attack! I called the main number of the hospital and give them my room number not knowing if I was dying. They said call your nurse. I said, "I tried!"....he walked away not even checking my vitals. The switchboard transferred me back up to the floor and they sent me a different nurse. Next time that happens I'm calling 911!

REPLY
Profile picture for helise0802 @helise0802

I have a 10cm mass. I was told after the seeds were implanted that I still need a liver resection or the mass will collapse. They did NOT tell me this prior to the seed implementation. They said that the seeds will prevent it from bleeding out or getting bigger. It was an entire month to recover. The instant the 1M seeds were implanted I felt instant back pain as I was partially sedated. The second day I felt like I was having a heart attack. I had wrap around chest and back pain. The nurse came into my room and he stated, "Your not in here for that!" And he leaves the room. I honestly thought I was having a heart attack! I called the main number of the hospital and give them my room number not knowing if I was dying. They said call your nurse. I said, "I tried!"....he walked away not even checking my vitals. The switchboard transferred me back up to the floor and they sent me a different nurse. Next time that happens I'm calling 911!

Jump to this post

Helise

That's horrible but not unexpected. In Jan 2025 I had a biopsy. As I was recovering I was suffering from severe stomach aches where I couldn't even breathe or move. I told this to the nurse, asked about the pain and location and called the Dr. A few seconds later she came back and said "it's not surgery related. If it continues to 911". I told her I'm already in the hospital. She repeated "it not surgically related so there's nothing they can do".. What a load of BS

FYI: It's now May and 3 weeks ago and again last week I'm getting bills from people who "say" they participated in the biopsy (lab or at the hospital). Seriously 5 months later and who are you

REPLY

I also had a biopsy in January but it was begin.
However the 10 cm mass can collapse . The GI dr said I need to resect my liver and the seeds will reduce the tumor and collapse. The surgeon said I can't resect my liver because the hepatic veins are too close to the mass.
So now that I've looked it up....it means acute liver failure and death.
I'm a single mother of five with my ex and neighbors who are kicking us out into the street. I've been fighting them for 5 years while they put me through hell. Having panic attacks, stress, while my ex drills wood screws into my tires multiple times. While my son's jeep has the oil drained and lug nuts loosened until he was on the highway. I left him in 2007 and he started this sale and lawsuit in 2020 at the start of Covid-19!

REPLY
Profile picture for dave1952 @dave1952

I had Y90 in Nov, 24 on two tumors 6cm in size. A three month MRI showed 98-99% of the treated area was killed.. My Dr was very pleased. Recovery for me was quit difficult with pain, fevers and crippling fatigue for 2 plus months but the results were worth it. Sorry it didn't work for you Stevie 17th. I have to do it again for another very small tumor in a few weeks.

Jump to this post

Your comments are so helpful. Please report on that subsequent Y90 procedure. Thank you!

REPLY
Profile picture for dave1952 @dave1952

Fatigue that I experienced is hard to describe. It wasn't like "I need sleep" fatigue. It wasn't like I couldn't function fatigue. It was more like an overall body weakness where I was running on weak batteries. I would have a small burst of energy for a couple minutes and then the batteries got weak fast. My mailbox is about 100 feet from the house. I could get there fine but it was a struggle to get back into the house with two flights of stairs. I had to sit for a few minutes before doing anything else.

Now, please, do not think this happens to everyone. Y90 is generally tolerated well as I understand it. I went along for three weeks with the expected side effects and started to come out of it and had some complications. My tumors were pretty big and as the tissue died my body went into protection mode and created a layer of fluid around my liver as a cushion. This caused bloating, pressure and pain under my ribs. I started running a low grade fever each afternoon which just added to my other symptoms. Those fevers went on for 11 weeks. I am 14 weeks out from the Y90 and feel really pretty good. now.

I assume by your name you might have shorthairs? I am a lifelong lab person myself but at 73 have reduced myself to a little lap dog. Anyway, I wouldn't expect to do much dog walking right away. It was hard for me to take him out to do his business. Before the complications I was walking him over half a mile and increasing that slowly. After the swelling I was good for maybe 100 yards. Today I am back up to over a mile,

My radiologist said often the recovery is linked to the size of the tumors which seemed to hold true in my case. My last MRI showed 98% of the treated area killed so it's hard to argue with that kind of success.

I hope this helps. Please reach out of you have any more questions.

Jump to this post

Hi Dave.. I hope you are feeling better now. You commented that your "tumors were pretty big..." May I ask how big they were? My husband is schedule for the Y90 next month. He has one large mass at 12cm and two much smaller ones. I wonder if he may experience the side effects you mentioned as well.

REPLY
Please sign in or register to post a reply.