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Controversies in the Management of Posterior Uveal Melanoma

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Radiotherapy of Intraocular and Orbital Tumors

Part of the book series: Medical Radiology ((Med Radiol Radiat Oncol))

Abstract

The management of malignant melanoma of the posterior uvea (ciliary body and choroid) is still controversial (Shields 1983; Shields and Shields 1992; Shields et al., to be published). This controversy has evolved because the peculiar and often unpredictable behavior of this tumor is poorly understood. This chapter discusses some of the controversial issues, with emphasis on the debate over the role of enucleation as primary treatment, the subject of metastasis following enucleation, the possibility that enucleation may promote metastasis, and the concept of subclinical metastasis. It will lay the groundwork for the more specific methods of treatment to be discussed in subsequent chapters.

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References

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Author information

Authors and Affiliations

  1. Oncology Service, Willis Eye Hospital, Thomas Jefferson University, Ninth & Walnut Streets, Philadelphia, PA, 19107, USA

    Jerry A. Shields M.D. (Professor, Director)

  2. Willis Eye Hospital, Thomas Jefferson University, Ninth & Walnut Streets, Philadelphia, PA, 19107, USA

    Carol L. Shields M.D. (Assistant Professor)

  3. Department of Radiation Oncology and Nuclear Medicine, Hahnemann University, Broad & Vine Streets, Mail Stop 200, Philadelphia, PA, 19102-1192, USA

    Luther W. Brady M.D. (Professor, Chairman) & J. Carlos Hernandez M.D.

Authors
  1. Jerry A. Shields M.D.
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  2. Carol L. Shields M.D.
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  3. Luther W. Brady M.D.
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  4. J. Carlos Hernandez M.D.
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Editor information

Editors and Affiliations

  1. Klinik für Strahlentherapie und Nuklearmedizin, Alfried Krupp Krankenhaus, Alfried Krupp-Straße 21, W-4300, Essen 1, Germany

    Winfried E. Alberti

  2. Radiation Oncology Division, Health Science Center, State University of New York, 750 East Adams Street, Syracuse, NY, 13210, USA

    Robert H. Sagerman M.D., F.A.C.R. (Professor and Director) (Professor and Director)

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© 1993 Springer-Verlag Berlin Heidelberg

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Shields, J.A., Shields, C.L., Brady, L.W., Hernandez, J.C. (1993). Controversies in the Management of Posterior Uveal Melanoma. In: Alberti, W.E., Sagerman, R.H. (eds) Radiotherapy of Intraocular and Orbital Tumors. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-97011-5_3

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  • DOI: https://doi.org/10.1007/978-3-642-97011-5_3

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-97013-9

  • Online ISBN: 978-3-642-97011-5

  • eBook Packages: Springer Book Archive

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