Cardiovasc Intervent Radiol (2017) 40:1479 DOI 10.1007/s00270-017-1707-0 LETTE R T O T HE EDI T OR Regarding ‘‘Yttrium-90 Radioembolization for Unresectable Combined Hepatocellular–Cholangiocarcinoma’’ Zhongzhi Jia Received: 22 April 2017 / Accepted: 19 May 2017 / Published online: 26 May 2017 Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2017 We read with great interest the recent article by Chan et al. may bias the results. Secondly, there were a total of 3 . The authors concluded that radioembolization with patients with macrovascular invasion according to Table 1, yttrium-90 microspheres appears to be a promising treat- but there were 4 patients with macrovascular invasion ment option for patients with unresectable combined hep- according to Figure 2B, which causes serious confusion to atocellular–cholangiocarcinoma, and poor performance the readers. status and the presence of macrovascular invasion were Compliance with Ethical Standards identiﬁed as predictors of reduced survival after radioem- bolization. However, we would like to elaborate on the Conﬂicts of interest The author declares that he has no competing treatments pre- and post-radioembolization of the patients. interests. Firstly, there were a total of 10 patients included in this study, and many of them had received wide-ranging ther- apies pre- and post-radioembolization, including References chemotherapy, hepatectomy, and TACE. In particular, patients 7 and 10 had chemorefractory hepatocellular– 1. Chan LS, Sze DY, Poultsides GA, et al. Yttrium-90 radioem- cholangiocarcinoma with macrovascular invasion, and both bolization for unresectable combined hepatocellular–cholangio- of them had not received any treatment after radioem- carcinoma. Cardiovasc Intervent Radiol. 2017. doi:10.1007/ bolization even though with stable disease, all of which s00270-017-1648-7. & Zhongzhi Jia email@example.com Department of Interventional Radiology, No. 2 People’s Hospital of Changzhou, Nanjing Medical University, Xing Long Road 29#, Changzhou 213003, China
CardioVascular and Interventional Radiology – Springer Journals
Published: May 26, 2017
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