Titre | Iodine 125 plaque brachytherapy as an alternative to enucleation for large uveal melanomas |
Abstract Nr. | A1021 |
But | To evaluate the safety and efficacy of iodine 125 plaque brachytherapy (IBT) for selected large uveal melanomas. |
Méthodes | This prospective nonrandomized study included all patients referred to our institution and diagnosed with uveal melanoma with a thickness > 8.0 mm. The eligibility criteria included patients who declined enucleation and/or were not eligible for tumor resection (poor health status, retro-equatorial tumor, largest basal tumor diameter > 15 mm) and a follow up of at least 24 months. |
Résultats | Thirteen eligible patients with a mean age of 61 years old underwent IBT (mean dose to tumor apex, 90 Gy). Mean tumor height was 9.3 mm and largest basal tumor diameter was 15.3 mm. After a mean follow-up of 48 months, no case of local tumor recurrence or late enucleation was recorded. Treatment related complications included cataract (n=8, 61%), retinopathy (n=8, 61%), neovascular glaucoma (n=1, 8%), scleral necrosis (n=1, 8%), and vitreous hemorrhage that required vitrectomy (n=4, 30%). Final vision worse than 20/200 was documented in 8 patients ( 61%). Metastasis developed in 4 patients (31%) after a mean interval of 19 months. |
Conclusion | Although the long-term prognosis of preserving vision is poor, IBT seems to be a safe and effective alternative to enucleation with regard to local tumor control. Benefit from enucleation as regards avoiding IBT-related complications is smallest for patients in whom the risk for metastasis is high. |
Nom | LEDOUX |
Initiales | A |
Institut | Oncology Unit Cliniques Universitaires St-Luc |
Ville | Brussels |
Nom | DE POTTER |
Initiales | P |
Institut | Oncology Unit Cliniques Universitaires St-Luc |
Ville | Brussels |
Nom | RENARD |
Initiales | L |
Institut | Radiotherapy Department, Cliniques Universitaires St-Luc |
Ville | Brussels |