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How do you approach treatment for a patient with uveal melanoma who is not a candidate for plaque brachytherapy

What are the surgical and radiation options? What dose and fractionation scheme is appropriate for fractionated SRS?
2 Answers
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Radiation Oncology · Memorial Sloan Kettering Cancer Center
Answered on

If plaque brachytherapy is not possible, we consider proton beam therapy to a dose of 50 Gy/5 fractions. Enucleation of the eye is the surgical alternative.

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Radiation Oncology · University of Florida
Answered on

Protons.

We use a 4 fraction regimen which is attractive compared with two surgical procedures.

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