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How do you account for tumor growth from pre-operative to intra-operative ultrasound for uveal melanoma?

Do you prescribe to 5mm/apex or use a margin? Do you add time for tumor growth or allow less than the prescription dose to the apex?
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What other adjuvant therapies are considered along with plaque?

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2 Answers
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Mednet Member
Radiation Oncology · Penn State Milton S Hershey Medical Center
Answered on

On B scan, measure the thickness from apex AP and also do basal measurements. Base measurements are done through indirect ophthalmoscope also. At each visit, pre-op and postop, both B scan measurements (for tumor thickness) are done and also indirect ophthalmoscope measurements. My twin sister is an...

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Mednet Member
Mednet Member
Radiation Oncology · Penn State Milton S Hershey Medical Center
Answered on

PDT: photodynamic therapy for amelanotic melanoma.

Intravitreal chemotherapy is under investigation and also intra-arterial chemotherapy (not yet standard of care)

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