Liver Directed Therapy - Y-90 or Chemoembolization
I am quite a rare case here with S4 PACC with a tail mass with RET positive genetic indication and mets liver. I have had a very good response to Retevmo/Selpercatinib. 50% reduction in diameter of all tumors (~80% reduction by volume). Happy with this result though the shrinking has slowed and/or stopped. The order of priority is to manage the lesions in the liver first and then go after the tumor on the tail.
I am reaching out to see if anyone has had either Y-90 or Chemoembolization procedures? I would love to hear your experience as this is thought to be my next step. (Even with the reductions my liver tumors are still too large and numerous for Histotripsy. )
Thank you!
Interested in more discussions like this? Go to the Pancreatic Cancer Support Group.
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@alanbeavfan Here is a link to previous conversations on Y90. Take a look at them. Let us know what questions you have?
https://connect.mayoclinic.org/discussion/radioembolization-vs-y90/
https://connect.mayoclinic.org/discussion/has-anyone-had-y90-treatment-for-nets/
https://connect.mayoclinic.org/discussion/im-having-the-y-90-procedure-friday-3/
@tomrennie Thank you very much! I need to get better at searching the existing posts!
After about 9 months of fulfurinox we did Y90. It worked great and got me to pancreatic surgery!