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Case Series

Selective internal radiation therapy: an effective treatment for hormonal syndromes in pancreatic neuroendocrine tumors

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Article: HEP09 | Received 05 Dec 2017, Accepted 13 Jun 2018, Published online: 28 Sep 2018

Figures & data

Figure 1.  Magnetic resonance imaging images of VIPoma lesions at different moments of the disease.

(A) Basal. (B) 6 months after selective internal radiation therapy. (C) 12 months after selective internal radiation therapy. (D) 2 years after selective internal radiation therapy. A ring enhancement can be observed in the tumor, secondary to a decrease in intralesional vascularity.

Figure 1.  Magnetic resonance imaging images of VIPoma lesions at different moments of the disease.(A) Basal. (B) 6 months after selective internal radiation therapy. (C) 12 months after selective internal radiation therapy. (D) 2 years after selective internal radiation therapy. A ring enhancement can be observed in the tumor, secondary to a decrease in intralesional vascularity.
Figure 2.  Computerized tomography scan images of insulinoma lesions at different moments of the disease.

(A) Basal. (B) 3 months after selective internal radiation therapy. (C) 6 months after selective internal radiation therapy. (D) A year after selective internal radiation therapy. A complete response is shown with no evidence of tumoral lesions. Concurrently with the radiological response, the hormonal syndrome disappeared.

Figure 2.  Computerized tomography scan images of insulinoma lesions at different moments of the disease.(A) Basal. (B) 3 months after selective internal radiation therapy. (C) 6 months after selective internal radiation therapy. (D) A year after selective internal radiation therapy. A complete response is shown with no evidence of tumoral lesions. Concurrently with the radiological response, the hormonal syndrome disappeared.