Punctate radiation dermatitis of the foot and ankle caused by distal embolization of 90Y microspheres during liver directed therapy

Benjamin B. Nia, Emily S. Nia, Ryan J. Avery, Phillip H Kuo, Charles T Hennemeyer

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A 41-year-old man with gastric adenocarcinoma presented with hepatic metastases. The metastases were refractory to systemic chemotherapy, so radioembolization with 90 Y microspheres was performed. Because of stasis or saturation of the tumor with embolic particles, 79% of the microspheres were injected. At follow-up, the patient complained of "red bumps" that had developed on his right foot/ankle the day after the radioembolization. Because a portion of the dose was still in the catheter when withdrawn from the right femoral artery, the interventional radiologist used a Geiger counter to confirm radioactivity in the cutaneous lesions and thus the distal embolization of the microspheres.

Original languageEnglish (US)
Pages (from-to)e422-e423
JournalClinical Nuclear Medicine
Issue number9
StatePublished - Sep 1 2017



  • 90 Y
  • brachytherapy
  • liver metastasis
  • radiation dermatitis
  • radioembolization

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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