1. A review on the efficacy and safety of iodine-125 seed implantation in unresectable pancreatic cancers.
- Author
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Jia SN, Wen FX, Gong TT, Li X, Wang HJ, Sun YM, and Yang ZC
- Subjects
- Animals, Apoptosis, Brachytherapy adverse effects, Cell Line, Tumor, Dose-Response Relationship, Radiation, Humans, Iodine Radioisotopes adverse effects, Pancreatic Neoplasms surgery, Prognosis, Treatment Outcome, Pancreatic Neoplasms, Brachytherapy methods, Iodine Radioisotopes therapeutic use, Pancreatic Neoplasms radiotherapy, Patient Safety
- Abstract
Background: Pancreatic cancers are the common digestive system tumors with poor prognosis and due to its late diagnosis, surgical resection does not remain a viable treatment option in about 80% of patients. Amongst different treatment options, radioactive
125 I seed implantation therapy has also emerged as a good alternative in non-resectable pancreatic cancer patients. Purpose: The present review describes the efficacy and safety of iodine-125 seed implantation in unresectable pancreatic cancers in preclinical and clinical studies. Results: In this technique, small radioactive particles are implanted inside the tumor cells to produce the sustain effects. Due to the short radial distance of these radiations, there is a selective and efficient killing of cancer cells without any significant injury to the neighboring cells. Amongst the different methods for implanting125 I seeds in the pancreatic tissues, CT scan or ultrasound-guided percutaneous seed implantation is preferred as it offers shorter operative time, lesser bleeding, early recovery, lesser complications, and low medical costs. The clinical studies have shown that radioactive125 I seed implantation is a good option for the management of local tumor growth, pain palliation, and improvement in the life span of patients suffering from unresectable pancreatic cancer. Conclusion: It may be employed either alone or in combination with cryotherapy, existing chemotherapy, bypass surgery or radiations to achieve the optimal results in these patients. Nevertheless, there is a need to formulate a uniform dose and procedure to achieve homogeneity and develop references for clinical practices.- Published
- 2020
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