A multimodal approach to eye melanoma: patterns of care and related complications

We describe the results of multimodal treatment of uveal and conjunctival melanomas. A retrospective analysis was performed on 54 patients treated with a multimodal approach between 2003 and 2008 in a single institution. Main outcome measures were survival, enucleation rate, local tumor control, vis...

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Main Authors: Maria Grazia Fabrini (Author), Federica Genovesi-Ebert (Author), Franco Perrone (Author), Letizia Forte (Author), Antonella Grandinetti (Author), Stanislao Rizzo (Author), Luca Cionini (Author)
Format: Book
Published: Frontiers Media S.A., 2011-12-01T00:00:00Z.
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Summary:We describe the results of multimodal treatment of uveal and conjunctival melanomas. A retrospective analysis was performed on 54 patients treated with a multimodal approach between 2003 and 2008 in a single institution. Main outcome measures were survival, enucleation rate, local tumor control, visual function preservation and complications associated with treatments. The median follow-up was 33.4 months. The 5-year overall survival was 95.3%, the local recurrence was 3.7% and the 5-year enucleation was 9.4%. Vision preservation was achieved in 84% of cases. Observed complications were cataract, retinal detachment, diplopia, glaucoma, retinopathy, optic neuropathy and scleral necrosis. A careful consideration of treatment of uveal melanoma in this study allowed us to obtain the survival rates and visual outcomes similar to previously published results, with a very small incidence of complications. the results must be interpreted in the light of recent findings on the genetic pattern of uveal melanoma.
Item Description:10.4081/oncol.2009.41
1970-5557
1970-5565