The role of orbital exenteration in choroidal melanoma with extrascleral extension

R. C. Kersten, David Tse, R. L. Anderson, F. C. Blodi

Research output: Contribution to journalArticle

42 Citations (Scopus)

Abstract

The management of choroidal melanoma with extrascleral extension has been a subject of controversy with some proposing orbital exenteration whenever extrascleral extension is demonstrated and others feeling it to be of no value in increasing survival. We reviewed the cases of 43 patients with extrascleral extension of choroidal melanoma. Although five-year survival had previously been demonstrated to be significantly improved in patients undergoing early orbital exenteration at our institution, extended follow-up in 16 consecutive cases revealed ultimate tumor related mortality to approach that of patients refusing exenteration. Only in cases with nonencapsulated or surgically transected extension did exenteration appear to improve survival. In ten cases with delayed recurrence of tumor in the orbit, exenteration proved to be palliative rather than curative.

Original languageEnglish
Pages (from-to)436-443
Number of pages8
JournalOphthalmology
Volume92
Issue number3
StatePublished - Jan 1 1985
Externally publishedYes

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Melanoma
Survival
Orbit
Neoplasms
Emotions
Recurrence
Mortality

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Kersten, R. C., Tse, D., Anderson, R. L., & Blodi, F. C. (1985). The role of orbital exenteration in choroidal melanoma with extrascleral extension. Ophthalmology, 92(3), 436-443.

The role of orbital exenteration in choroidal melanoma with extrascleral extension. / Kersten, R. C.; Tse, David; Anderson, R. L.; Blodi, F. C.

In: Ophthalmology, Vol. 92, No. 3, 01.01.1985, p. 436-443.

Research output: Contribution to journalArticle

Kersten, RC, Tse, D, Anderson, RL & Blodi, FC 1985, 'The role of orbital exenteration in choroidal melanoma with extrascleral extension', Ophthalmology, vol. 92, no. 3, pp. 436-443.
Kersten, R. C. ; Tse, David ; Anderson, R. L. ; Blodi, F. C. / The role of orbital exenteration in choroidal melanoma with extrascleral extension. In: Ophthalmology. 1985 ; Vol. 92, No. 3. pp. 436-443.
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