Published in:
01-06-2005 | Editorial
A Motion for Cautious Optimism in the Treatment of Patients With Ocular Melanoma: The Ayes Have It
Author:
H. Richard Alexander Jr., MD
Published in:
Annals of Surgical Oncology
|
Issue 6/2005
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Excerpt
The article by Rivoire et al.
1 in this issue of
Annals of Surgical Oncology details the outcomes of 63 patients diagnosed with liver metastases from ocular melanoma from a cohort of 602 who were being evaluated by screening that consisted of serial physical examination, ultrasonography, and chest x-ray every 6 months after treatment of their primary neoplasm. Outcomes of the 63 individuals who developed liver metastases are detailed according to the nature of the treatment; 28 patients underwent surgical exploration with curative intent, yet only half (n = 14) were able to have complete surgical resection. The other 14 had incomplete resection with or without additional regional or systemic chemotherapy. The other 35, who had diffuse hepatic involvement on the basis of preoperative imaging, received systemic chemotherapy or best supportive care. I applaud the authors for such an informative study and find these data provocative in that they bring into focus many of the challenges and opportunities before us in combating this perfidious condition. …