PT  - JOURNAL ARTICLE
AU  - W A Manschot
AU  - R Van Strik
TI  - Is irradiation a justifiable treatment of choroidal melanoma? Analysis of published results.
AID  - 10.1136/bjo.71.5.348
DP  - 1987 May 01
TA  - British Journal of Ophthalmology
PG  - 348--352
VI  - 71
IP  - 5
4099  - http://bjo.bmj.com/content/71/5/348.short
4100  - http://bjo.bmj.com/content/71/5/348.full
SO  - Br J Ophthalmol1987 May 01; 71
AB  - Analysis of the literature shows that dissemination of choroidal melanomas generally occurs after the 7 mm diameter stage, that doubling times of uveal melanomas vary from 30 to 365 days, and that death from metastases occurs 30-40 doubling times after dissemination. Tumour related death within three years after therapy is caused by pre-existing metastases. Survival rates for less than four years after therapy are therefore irrelevant in evaluating the efficacy of therapeutic regimens. Considerably higher postirradiation than postenucleation death rates after a mean 10-year follow-up period have been reported, and this difference can be explained by a reported mean clinical tumour regression rate of 31% two years after irradiation and histopathological studies which revealed that 42 out of 43 irradiated melanomas contained viable tumour, while only 50% showed necrosis. The doubtful value of preserving vision does not justify the high risk of avoidable death from metastases in irradiated patients.