Uveal melanoma surgery: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Uveal melanoma}} | {{Uveal melanoma}} | ||
{{CMG}}{{AE}}{{Simrat}} | {{CMG}}{{AE}}{{Fs}}, {{Simrat}} | ||
==Overview== | ==Overview== | ||
Surgery is the mainstay of treatment for uveal melanoma. | [[Surgery]] is the mainstay of treatment for uveal melanoma. The following types of [[surgery]] may be used [[resection]], [[enucleation]], and exenteration. | ||
==Surgery== | ==Surgery== | ||
== References == | *The mainstay of treatment for uveal melanoma is surgery. The following types of [[surgery]] may be used:<ref name="NCI">Uveal melanoma. National Cancer Institute(2015) http://www.cancer.gov/types/eye/patient/intraocular-melanoma-treatment-pdq#section/_38 Accessed on October 24 2015</ref><ref name="pmid28203054">{{cite journal |vauthors=Krantz BA, Dave N, Komatsubara KM, Marr BP, Carvajal RD |title=Uveal melanoma: epidemiology, etiology, and treatment of primary disease |journal=Clin Ophthalmol |volume=11 |issue= |pages=279–289 |date=2017 |pmid=28203054 |pmc=5298817 |doi=10.2147/OPTH.S89591 |url=}}</ref> | ||
{{ | **'''[[Resection]]''': [[Surgery]] to remove the [[tumor ]]and a small amount of healthy [[tissue]] around it. | ||
***Trans-scleral partial choroidectomy (cyclochoroidectomy): this is an option for the subset of [[Patient|patients]] with [[choroidal]] or ciliochoroidal [[Tumor|tumors]] who are poor candidates for [[radiotherapy]]. | |||
***Transretinal endoresection | |||
**'''[[Enucleation]]''': [[Surgery]] to remove the [[eye]] and part of the [[optic nerve]]. This is done if [[vision]] cannot be saved and the [[tumor]] is large, has spread to the [[optic nerve]], or causes high [[pressure]] inside the [[eye]]. After [[surgery]], the [[patient]] is usually fitted for an artificial [[eye]] to match the size and color of the other [[eye]]. | |||
**'''Exenteration''': [[Surgery]] to remove the [[eye]] and [[eyelid]], and [[muscles]], [[nerves]], and [[fat]] in the [[eye]] socket. After [[surgery]], the [[patient]] may be fitted for an artificial [[eye]] to match the size and color of the other [[eye]] or a [[facial]] prosthesis. | |||
== References == | |||
{{reflist|2}} | |||
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Latest revision as of 03:21, 19 August 2019
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Fahimeh Shojaei, M.D., Simrat Sarai, M.D. [2]
Overview
Surgery is the mainstay of treatment for uveal melanoma. The following types of surgery may be used resection, enucleation, and exenteration.
Surgery
- The mainstay of treatment for uveal melanoma is surgery. The following types of surgery may be used:[1][2]
- Resection: Surgery to remove the tumor and a small amount of healthy tissue around it.
- Trans-scleral partial choroidectomy (cyclochoroidectomy): this is an option for the subset of patients with choroidal or ciliochoroidal tumors who are poor candidates for radiotherapy.
- Transretinal endoresection
- Enucleation: Surgery to remove the eye and part of the optic nerve. This is done if vision cannot be saved and the tumor is large, has spread to the optic nerve, or causes high pressure inside the eye. After surgery, the patient is usually fitted for an artificial eye to match the size and color of the other eye.
- Exenteration: Surgery to remove the eye and eyelid, and muscles, nerves, and fat in the eye socket. After surgery, the patient may be fitted for an artificial eye to match the size and color of the other eye or a facial prosthesis.
- Resection: Surgery to remove the tumor and a small amount of healthy tissue around it.
References
- ↑ Uveal melanoma. National Cancer Institute(2015) http://www.cancer.gov/types/eye/patient/intraocular-melanoma-treatment-pdq#section/_38 Accessed on October 24 2015
- ↑ Krantz BA, Dave N, Komatsubara KM, Marr BP, Carvajal RD (2017). "Uveal melanoma: epidemiology, etiology, and treatment of primary disease". Clin Ophthalmol. 11: 279–289. doi:10.2147/OPTH.S89591. PMC 5298817. PMID 28203054.