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Updated: Oct 14, 2025

Treatment of Liver Metastases Using an Internal Target Volume Method for Stereotactic Body Radiotherapy
Published on: May 8, 2018
New curative approach using embolization followed by moderate-dose radiotherapy after surgical failure for large
Sylvie Delanian1,2, Sameh Awad3, Aimery de Gramont4
1Oncologie-Radiothérapie, Groupe Hospitalier Universitaire, APHP site Saint-Louis-Université de Paris, France.
Purpose:
Cardiac metastasis is a rare fatal event. An intracavitary right tumor mainly in the ventricle is difficult to manage. Literature reports suggest that cardiac surgery in oligometastatic patients could offer median survival of 1 year. We investigated salvage treatment comprising transcoronary tumor embolization followed 15 days later by cardiac radiotherapy (40.5 Gy/15 fractions).
Cases:
We report two cases of severe right cardiac metastasis with a history of abdominal cancer managed by this salvage treatment following residual cardiac mass after previous cardiac surgery.
Conclusion:
Both symptomatic patients improved progressively and were locally controlled for at least 1 year without toxicity.
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