Characteristics, management, and outcome of patients with uveal melanoma treated by Iodine-125 radioactive plaque therapy in a single tertiary cancer center in Jordan
| Autor: | Imad Jaradat, Ghadeer Abdeen, Mustafa Mehyar, Khaleel Alrawashdeh, Ibrahim Al-Nawaiseh, Yacoub A. Yousef, Ahmed Zewar, Samer Khurma |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Visual acuity business.industry Melanoma Enucleation Cancer Mean age medicine.disease eye diseases Metastasis 03 medical and health sciences Ophthalmology 0302 clinical medicine medicine.anatomical_structure lcsh:Ophthalmology lcsh:RE1-994 Median follow-up 030220 oncology & carcinogenesis 030221 ophthalmology & optometry medicine Original Article Radiology Choroid medicine.symptom business |
| Zdroj: | Saudi Journal of Ophthalmology, Vol 32, Iss 2, Pp 130-133 (2018) |
| ISSN: | 1319-4534 |
| Popis: | Objective: To evaluate King Hussein Cancer Center experience in using Iodine-125 COMS radioactive plaque for treatment of Uveal Melanoma in Jordan. Methods: Retrospective case series of eyes with uveal melanoma treated by Iodine-125 COMS radioactive plaque therapy. Data collection required access to medical, radiology, Labs and pathology reports. Main outcomes studied includes: Demographics, tumor features, eye salvage, visual outcome, metastasis, and mortality. Results: Between September 2008 and March 2015, 28 eyes for 28 patients had intraocular uveal melanoma and treated by Iodine-125 radioactive plaque therapy. The mean age at diagnosis was 48 years and 16(57%) were males. The mean tumor thickness was 8 mm (range: 4–13 mm), and 27(96%) patients had medium or large size tumor. The radioactive plaques used had a median size of 16 mm (range: 12–20 mm). The mean apical dose was 83.5 Gy (range 81–87 Gy), and the median radiation rate was 7.25 (range: 4.5–13). At median follow up of 2 years (range 0.5–7 years), eye salvage rate was 93%. Four (15%) patients had distance metastasis, and 3(11%) were dead. Fifty percent of patient had visual acuity better than 20/200 at the last date of follow up. Conclusion: Our preliminary results are encouraging and are comparable to another countries worldwide. The use of Iodine-125 COMs plaque therapy at the inspection of implementation of plaque therapy in the developing countries can lead to eye salvage in more than 90% of cases, and reserves functional vision in more than 50% of cases. Keywords: Choroid, Enucleation, Melanoma, Radioactive plaque therapy |
| Databáze: | OpenAIRE |
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