Research Article
Efficacy and Prognostic Factors for Y-90 Radioembolization (Y-90) in Metastatic Neuroendocrine Tumors with Liver Metastases
Table 1
Baseline demographic and clinicopathologic characteristics of patients with metastatic liver-dominant NETs who received Y-90 radioembolization
| Baseline characteristic | Number of patients (%) |
| Age at diagnosis of metastatic disease (years) | Median (range) | 56.0 (20.71–78.14) |
| Gender | Male | 24 (49%) | Female | 25 (51%) |
| ECOG status at Y-90 treatment | 0–1 | 46 (94%) | ≥2 | 2 (4%) | Unknown | 1 |
| Location of primary NET | Pancreas | 15 (31%) | Small bowel | 20 (41%) | Large bowel | 3 (6%) | Unknown | 7 (14%) | Other | 4 (8%) |
| Grade | 1 | 30 (61%) | 2 | 12 (25%) | 3 | 1 (2%) | Unknown | 6 (12%) |
| Ki-67 (%) | ≤2 | 18 (37%) | 3–20 | 17 (34%) | >20 | 1 (2%) | Unknown | 13 (27%) |
| Mitotic count (/hpf) | <2 | 23 (47%) | 2–20 | 13 (27%) | >20 | 0 | Unknown | 13 (27%) |
| Baseline chromogranin A | Median (range) | 325 (7–44100) |
| Hepatic tumor burden | <33% | 9 (18%) | 33–66% | 32 (65%) | >66% | 7 (14%) | Unknown | 1 (2%) |
| Number of extrahepatic metastases | 0 | 34 (69%) | 1 | 11 (22%) | 2 | 3 (6%) | 3 | 1 (2%) |
| Previous therapies | Surgical resection of primary tumor | 31 (63%) | Local ablative therapy | 12 (25%) | SSA | 34 (69%) | Systemic therapy | 17 (35%) |
| Dose of Y-90 (GBq) | Median (range) | 2.2 (0.80–3.60) |
| Type of Y-90 | TheraSpheres | 14 (29%) | SIR-Spheres | 34 (69%) | Unknown | 1 (2%) |
| Type of treatment | Liver segment | 43 (88%) | Whole liver | 5 (10%) | Unknown | 1 (2%) |
| Response to Y-90 radioembolization | Complete response | 0 | Partial response | 26 (53%) | Stable disease | 16 (33%) | Progressive disease | 6 (12%) | Unknown | 1 (2%) |
| Number of liver segments treated | 1 | 9 (18%) | 2 | 31 (63%) | 3 | 4 (8%) | 4 | 3 (6%) | Unknown | 2 (4%) |
| Number of Y-90 treatments | 1 | 34 (69%) | 2 | 14 (29%) | 3 | 1 (2%) |
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