A 57-year old breast cancer patient with lung metastases presented to her physician with repeated and worsening episodes of vomiting and nausea. She had been given SIRT with 90 Y resin microspheres two months prior to this without any complications. The patient had also received chemotherapy with 5-FU, cyclophosphamide, gemcitabine, and trastuzumab at the time of receiving SIRT.
Four weeks later, she had to be hospitalized for nausea and vomiting and was treated symptomatically. Physical examination: Blood Pressure: 94/51 mmHg Heart Rate: 71/min O 2 saturation: 95% on room air Respiration rate: 20/min Temperature: 36.6°C (97.9°F) Mucous membranes: Dry Abdominal examination: Normal Rectal Examination: No macroscopic or occult blood Laboratory examination: WBC count: 5.1 (4.5–11 × 10 9 /L) Haemoglobin: 4 (12–15.5 g/dl) Mean Corpuscular Volume: 86 (80–96 fL/red cell) Platelet Count:…
