Ocular Oncology and Pathology最新文献

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Lipid Dominant Toxic Tumor Syndrome. 脂质显性毒性肿瘤综合征。
IF 0.9
Ocular Oncology and Pathology Pub Date : 2025-04-01 Epub Date: 2024-12-09 DOI: 10.1159/000543040
Jose Cijin Puthussery, William Wagner, Arun D Singh
{"title":"Lipid Dominant Toxic Tumor Syndrome.","authors":"Jose Cijin Puthussery, William Wagner, Arun D Singh","doi":"10.1159/000543040","DOIUrl":"https://doi.org/10.1159/000543040","url":null,"abstract":"<p><strong>Introduction: </strong>The aim of the study was to describe clinical features of lipid dominant toxic tumor syndrome (TTS) and report outcomes following use of intravitreal steroids.</p><p><strong>Methods: </strong>Records of 13 patients who had lipid dominant TTS following treatment of choroidal melanoma with episcleral plaque brachytherapy (EPB) were retrospectively reviewed. Resolution of lipid exudates, subfoveal subretinal fluid, cystoid macular edema (CME), exudative detachment were main outcome measures.</p><p><strong>Results: </strong>Of the 13 patients who developed lipid dominant TTS, 11 (85%) had medium-sized melanomas, and 2 (15%) small-sized melanomas. The average time to onset following EPB was 22 months (range 3-48 months). Seven patients (54%) were noted to have dyslipidemia. The baseline visual acuity at the time of diagnosis of TTS was 50 ETDRS letters (range 10-85). Ophthalmic characteristics were lipid exudates centered around the tumor base in 13 (100%) patients, subfoveal subretinal fluid in 4 (31%) patients, and CME in 2 (15%) patients. Exudative detachment was absent in all (100%) patients. Regressed melanoma was present in all (100%) patients. Eight (62%) patients were treated with intravitreal steroids (4 mg triamcinolone), while 5 patients (38%) were observed. The response to intravitreal steroids was noted in 7(88%) of the treated patients, with the average time to response being 1.9 months. Features characterizing a positive response were reduction in lipid exudates centered around the tumor base (100%), reduction in subfoveal subretinal fluid (100%), and reduction in CME (50%). Cataract development was seen in 10 (83%) and ocular hypertension in 3 patients (23%). Proliferative radiation retinopathy developed in 2 (15%) patients, neovascular glaucoma developed in 1(8%) while no patients required enucleation.</p><p><strong>Conclusion: </strong>The lipid dominant TTS centered around the tumor base that occurs in a radiation responsive tumor could be considered a chronic variant in the spectrum of TTS. Intravitreal steroids in selected cases reverse the course of this variant, stabilizing or improving the vision and avoiding enucleation. Our observations would need to be verified through a larger prospective study.</p>","PeriodicalId":19434,"journal":{"name":"Ocular Oncology and Pathology","volume":"11 1","pages":"37-45"},"PeriodicalIF":0.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11991737/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144006335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Intraocular Ependymoma: Do They Exist? 眼内室管膜瘤存在吗?
IF 0.9
Ocular Oncology and Pathology Pub Date : 2025-04-01 Epub Date: 2024-11-07 DOI: 10.1159/000542376
Charles G Eberhart
{"title":"Intraocular Ependymoma: Do They Exist?","authors":"Charles G Eberhart","doi":"10.1159/000542376","DOIUrl":"https://doi.org/10.1159/000542376","url":null,"abstract":"","PeriodicalId":19434,"journal":{"name":"Ocular Oncology and Pathology","volume":"11 1","pages":"1-3"},"PeriodicalIF":0.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11991694/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143984454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Female Representation in Ophthalmic Oncology and Pathology: An Analysis of Scholarship and Leadership. 女性在眼科肿瘤学和病理学中的代表性:学术和领导能力分析。
IF 0.9
Ocular Oncology and Pathology Pub Date : 2025-04-01 Epub Date: 2024-12-20 DOI: 10.1159/000542560
Ogul E Uner, Birkaran Sadhar, Lillian Huang, Maxim Breakstone, Jesse L Berry, Dan S Gombos, Prithvi Mruthyunjaya, Alison H Skalet
{"title":"Female Representation in Ophthalmic Oncology and Pathology: An Analysis of Scholarship and Leadership.","authors":"Ogul E Uner, Birkaran Sadhar, Lillian Huang, Maxim Breakstone, Jesse L Berry, Dan S Gombos, Prithvi Mruthyunjaya, Alison H Skalet","doi":"10.1159/000542560","DOIUrl":"https://doi.org/10.1159/000542560","url":null,"abstract":"<p><strong>Introduction: </strong>Female representation in ophthalmic oncology and pathology is unknown. We evaluated gender-based trends in authorship and leadership in these fields, focusing on intraocular tumors.</p><p><strong>Methods: </strong>Articles containing \"uveal melanoma\" (UM), \"retinoblastoma\" (Rb), \"primary intraocular lymphoma\" (PIOL), \"choroidal metastasis\" (CM), and articles in <i>Ocular Oncology and Pathology</i> (OOP) were searched on PubMed and author names obtained. Leadership/awards from 4 international ophthalmic oncology and pathology societies were recorded. GenderAPI was used to predict gender.</p><p><strong>Results: </strong>Among 4,245 UM, 9,660 Rb, 141 PIOL, 353 CM, and 568 OOP authors, more males were first (range, 52-67%) and last authors (range, 69-76%). Analysis of the 4 keywords showed overall female authorship increased from 2011 to 2016 to 2017-2022 (35%-40%, <i>p</i> < 0.001), with an increase in both first (45%-47%, <i>p</i> = 0.03) and last authorship (26%-33%, <i>p</i> < 0.001). Female first authors were more likely to publish with female last authors (Rb OR 1.72, <i>p</i> < 0.001; OOP OR 2.04, <i>p</i> = 0.01). Males held more leadership roles/awards in societies.</p><p><strong>Conclusion: </strong>Female representation in ophthalmic oncology and pathology has grown but gender disparities remain. Female first authors were more likely to publish with female last authors. Most society leaders and awardees were male. Cultivating mentorship through professional organizations may help achieve gender parity.</p>","PeriodicalId":19434,"journal":{"name":"Ocular Oncology and Pathology","volume":"11 1","pages":"21-29"},"PeriodicalIF":0.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11991721/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144064322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Intraocular Myxo-Papillary Ependymoma versus Retinal Gliosis Mimicking Uveal Melanoma: Report of 2 Adult Patients with Clinical, Imaging, and Histopathologic Features. 眼内黏液乳头状室管膜瘤与模拟葡萄膜黑色素瘤的视网膜胶质瘤:2例具有临床、影像学和组织病理学特征的成人患者的报告。
IF 0.9
Ocular Oncology and Pathology Pub Date : 2025-04-01 Epub Date: 2025-02-11 DOI: 10.1159/000541778
Ysé Borella, Arnault Tauziede-Espariat, Arnaud Gauthier, Julien Masliah-Planchon, Hervé J Brisse, Alexandre Matet, Nathalie Cassoux, Livia Lumbroso-Le Rouic
{"title":"Intraocular Myxo-Papillary Ependymoma versus Retinal Gliosis Mimicking Uveal Melanoma: Report of 2 Adult Patients with Clinical, Imaging, and Histopathologic Features.","authors":"Ysé Borella, Arnault Tauziede-Espariat, Arnaud Gauthier, Julien Masliah-Planchon, Hervé J Brisse, Alexandre Matet, Nathalie Cassoux, Livia Lumbroso-Le Rouic","doi":"10.1159/000541778","DOIUrl":"https://doi.org/10.1159/000541778","url":null,"abstract":"<p><strong>Introduction: </strong>To report two cases of primary retinal ependymoma occurring in adults, both enucleated following initial suspicion of uveal melanoma. Uveal melanoma is the most frequent primary tumor of the eye in adults but other rare benign intraocular tumors such as leiomyoma, adenoma or ependymomas may also occur. To diagnose them properly is critical to adapt the patient's management, prognosis and follow-up. Ependymomas are exquisitely rare glial tumors arising from the retina, with only three cases reported yet. Primary clinical diagnosis and distinction between benign or malignant tumor is usually not possible without enucleation and histopathologic analysis. Ependymomas are glial tumors, usually occurring during childhood and arising within the central nervous system (CNS, brain or spinal cord). However, they may also occur outside the CNS, either as a primary or a secondary location.</p><p><strong>Case presentations: </strong>Case series from two adults aged 41 and 42 years with blindness and painful eye due to neovascular glaucoma who were enucleated for intraocular tumors. Imaging demonstrated in both cases nonspecific vascularized solid tumors consistent with uveal melanoma. Histopathologic findings showed radial arrangement of cuboidal to elongated tumor cells around hyalinized fibrovascular cores, presence of myxoid material and diffuse expression of GFAP but not Olig2, orienting the diagnosis to myxopapillary retinal ependymomas. No primary of distant CNS location was identified and follow-up at one and 3 years was favorable.</p><p><strong>Conclusions: </strong>Intraocular ependymoma is a rare intraocular primary retinal tumor which can mimic uveal melanoma at ocular fundus examination and imaging. The diagnosis requires histopathology after enucleation, and can mimic reactive retinal gliosis, whether ependymomas can arise from retina or if retinal gliosis can have ependymoma characteristics is still to be determined. Survival and metastatic prognosis after surgery are favorable according to our experience and previously published cases, confirming the presumed benign nature of the lesions.</p>","PeriodicalId":19434,"journal":{"name":"Ocular Oncology and Pathology","volume":"11 1","pages":"61-72"},"PeriodicalIF":0.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11991695/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144007172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mapping Sentinel Vessels in Uveal Melanomas Using Laser Speckle Contrast Imaging. 激光散斑对比成像在葡萄膜黑色素瘤中定位前哨血管。
IF 0.9
Ocular Oncology and Pathology Pub Date : 2025-04-01 Epub Date: 2025-01-21 DOI: 10.1159/000541715
Linn Engqvist, Ulf Dahlstrand, Rafi Sheikh, Malin Malmsjö
{"title":"Mapping Sentinel Vessels in Uveal Melanomas Using Laser Speckle Contrast Imaging.","authors":"Linn Engqvist, Ulf Dahlstrand, Rafi Sheikh, Malin Malmsjö","doi":"10.1159/000541715","DOIUrl":"https://doi.org/10.1159/000541715","url":null,"abstract":"<p><strong>Introduction: </strong>Sentinel vessels provide an important early indication of underlying ocular neoplasm. To date, there is no noninvasive technique available for imaging and mapping of their vascular supply, which remains largely unstudied. We aimed to map sentinel vessels in uveal melanomas noninvasively by laser speckle contrast imaging (LSCI).</p><p><strong>Case presentations: </strong>This report describes a case series of 4 patients undergoing enucleation due to uveal melanoma. Perfusion was imaged using LSCI during the successive detachment of the four rectus muscles, with their ciliary arteries, and the optic nerve with its ophthalmic artery. Tumor location and possible extrascleral growth were analyzed histopathologically. Sentinel vessels in uveal melanoma could be visualized noninvasively using LSCI, appearing broader and tortuous compared to surrounding vessels. The perfusion in the sentinel vessels was 24-94% higher than in the episcleral vessels. The origin of the sentinel vessel could be determined by perfusion monitoring during the successive detachment of the rectus muscles and the optic nerve. In 3 patients, the sentinel vessel was supplied by the anterior ciliary arteries and in 1 patient by the ophthalmic artery. In one of the cases, the sentinel vessel was not visible upon visual inspection.</p><p><strong>Conclusion: </strong>This is the first study of its kind demonstrating detailed mapping of sentinel vessels in uveal melanoma using LSCI. LSCI shows potential for the detection of sentinel vessels before they are visible in slit lamp examination. Vascular changes are a hallmark of tumor growth, and noninvasive imaging with LSCI may be a useful diagnostic tool for the detection of uveal melanoma.</p>","PeriodicalId":19434,"journal":{"name":"Ocular Oncology and Pathology","volume":"11 1","pages":"56-60"},"PeriodicalIF":0.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11991684/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144032832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluation of MRI Safety of Ru-106 Eye Applicators. Ru-106眼部涂抹器的MRI安全性评价。
IF 0.9
Ocular Oncology and Pathology Pub Date : 2025-04-01 Epub Date: 2024-11-30 DOI: 10.1159/000542712
Michael C Y Tang, Lisa Klaassen, Marina Marinkovic, T H Khanh Vu, Gregorius P M Luyten, Carien L Creutzberg, Martijn Ketelaars, Jan-Willem M Beenakker
{"title":"Evaluation of MRI Safety of Ru-106 Eye Applicators.","authors":"Michael C Y Tang, Lisa Klaassen, Marina Marinkovic, T H Khanh Vu, Gregorius P M Luyten, Carien L Creutzberg, Martijn Ketelaars, Jan-Willem M Beenakker","doi":"10.1159/000542712","DOIUrl":"https://doi.org/10.1159/000542712","url":null,"abstract":"<p><strong>Introduction: </strong>Ruthenium-106 brachytherapy is a primary treatment for uveal melanoma (UM), the most common intra-ocular malignancy in adults. This study evaluated the safety of Ru-106 applicators at 3 Tesla (T) MRI and their impact on image quality.</p><p><strong>Methods: </strong>Magnetic attraction and eddy currents were tested on a 20-mm-diameter Ru-106 applicator using a nylon string and a porcine eye. Safety criteria were defined by ocular oncologists, comparing magnetic field interactions to the forces exerted on the eye during surgery. Five UM patients were scanned at 3T MRI with the applicator in situ using both conventional anatomical sequences and scans optimised to reduce metal artefacts.</p><p><strong>Results: </strong>Minimal magnetic interactions were observed. Eddy currents caused slight lagging during fast movements and temporary detachment of the applicator of the porcine eye in conditions that were considered unrealistic for clinical scans. Significant susceptibility artefacts compromised image quality of the affected eye.</p><p><strong>Conclusion: </strong>Patients with Ru-106 applicators can be safely used in 3T MRI with some simple precautions. MR image quality of the eye was poor due to major susceptibility artefacts; however, imaging of extra-ocular anatomy is feasible.</p>","PeriodicalId":19434,"journal":{"name":"Ocular Oncology and Pathology","volume":"11 1","pages":"13-20"},"PeriodicalIF":0.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11991723/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143972152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Intraocular Surgery for Retinoblastoma: An Evaluation of Current Evidence. 眼内手术治疗视网膜母细胞瘤:对当前证据的评价。
IF 0.9
Ocular Oncology and Pathology Pub Date : 2024-12-01 Epub Date: 2024-06-24 DOI: 10.1159/000538626
Sam Peter Gurney, Joseph Abbott, Gerard Millen, Helen Jenkinson, Manoj Parulekar
{"title":"Intraocular Surgery for Retinoblastoma: An Evaluation of Current Evidence.","authors":"Sam Peter Gurney, Joseph Abbott, Gerard Millen, Helen Jenkinson, Manoj Parulekar","doi":"10.1159/000538626","DOIUrl":"10.1159/000538626","url":null,"abstract":"<p><strong>Background: </strong>Retinoblastoma (Rb) is the most common intraocular malignancy of childhood. The prognosis in Rb directly relates to the spread of disease beyond the eye, particularly to the central nervous system. Therefore, until the recent past, surgically entering an eye with active or recently active Rb was absolutely contraindicated in most centres around the world due to the risk of iatrogenic extraocular spread.</p><p><strong>Summary: </strong>In this review article, we explore the role of intraocular surgery in Rb. We describe the techniques which have been developed in order to safely deliver chemotherapeutic agents into the eye, both intravitreal and intracameral. We discuss the role of vitrectomy and endoresection for treatment of vitreous seeds and active retinal tumours. In the context of previously treated Rb, we outline various surgical interventions performed to improve visual outcomes or to manage the ocular sequelae of the disease. In particular, we review the various techniques used to maximise the safety of cataract, retinal and glaucoma surgery in children with a history of Rb.</p><p><strong>Key messages: </strong>The role of intraocular surgery in Rb is now well established, particularly in the delivery of chemotherapeutic agents or in the presence of previously treated diseases. The role of intraocular surgery in eyes with active Rb is less well established and remains the subject of much debate. However, it is likely that with further development of safer surgical techniques, the indications and modalities will continue to broaden.</p>","PeriodicalId":19434,"journal":{"name":"Ocular Oncology and Pathology","volume":"10 4","pages":"234-246"},"PeriodicalIF":0.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11627543/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142807621","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clinical and Multimodal Imaging Study to Differentiate Amelanotic Choroidal Lesions. 无色素变性脉络膜病变鉴别的临床及多模态影像学研究。
IF 0.9
Ocular Oncology and Pathology Pub Date : 2024-12-01 Epub Date: 2024-08-19 DOI: 10.1159/000540917
Arjun Desai, Niroj Sahoo, Mudit Tyagi, Vishal Raval
{"title":"Clinical and Multimodal Imaging Study to Differentiate Amelanotic Choroidal Lesions.","authors":"Arjun Desai, Niroj Sahoo, Mudit Tyagi, Vishal Raval","doi":"10.1159/000540917","DOIUrl":"10.1159/000540917","url":null,"abstract":"<p><strong>Introduction: </strong>The aim of this study was to differentiate amelanotic choroidal lesions - amelanotic choroidal melanoma, choroidal metastasis, and choroidal granuloma using multimodal imaging.</p><p><strong>Methods: </strong>Retrospective comparative chart review was done. Patients diagnosed with the abovementioned choroidal lesions from 2015 to 2022 were included. Baseline lesion morphology and retinal layer changes on optical coherence tomography (OCT), lesion echogenicity and dimensions on ocular ultrasonography (USG), fundus autofluorescence (FAF), fundus fluorescein angiography (FFA), and indocyanine green angiography (ICG-A) patterns and findings were assessed.</p><p><strong>Results: </strong>Twelve eyes with melanoma, 22 eyes with metastasis, and 9 eyes with granuloma were included. On OCT, 83% of melanomas and 67% of granulomas, and 68% of metastasis had dome-shaped choroidal lesions. Presence of intraretinal fluid (IRF) and shaggy photoreceptors was 94% (95% CI: 79-99%) and 90% (95% CI: 74-98%) specific to differentiate melanomas from other choroidal lesions (AUC >0.75, <i>p</i> < 0.05). Similarly, presence of incomplete retinal pigment epithelium (RPE) and outer retinal atrophy (iRORA) was 77% (95% CI: 55-92%) sensitive and 77% (95% CI: 53-92%) specific (AUC = 0.8, <i>p</i>+ 0.03) and presence of lumpy-bumpy choroid was 55% (95% CI: 32-76%) sensitive and 95% (95% CI: 76-99%) specific (AUC = 0.75, <i>p</i> = 0.04) to distinguish metastasis from other choroidal lesions. Mean height: base ratio was more in melanoma compared to metastasis (0.54 ± 0.22 vs. 0.43 ± 0.12, <i>p</i> = 0.17) and both were hyperechoic on USG. On FAF, 100% metastasis and 60% granulomas were hypoAF, whereas 100% melanomas were hypoAF. Majority choroidal lesions were hyperfluorescent on FFA. Double vascular circulation was observed in melanomas (50%). On ICG-A, all choroidal lesions were hypofluorescent.</p><p><strong>Conclusion: </strong>Clinical and multimodal imaging features such as the presence of IRF, shaggy photoreceptors, iRORA, and lumpy-bumpy choroid can help diagnose and differentiate amelanotic choroidal lesions, thereby avoiding the need for choroidal biopsy. Further larger studies are needed to devise a standard imaging protocol to validate our findings.</p>","PeriodicalId":19434,"journal":{"name":"Ocular Oncology and Pathology","volume":"10 4","pages":"206-218"},"PeriodicalIF":0.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11627583/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142807699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clinical Features and Initial Management Outcomes of Uveal Melanomas in a Single Tertiary Center in Egypt. 埃及单一三级中心葡萄膜黑色素瘤的临床特征和初步治疗结果。
IF 0.9
Ocular Oncology and Pathology Pub Date : 2024-12-01 Epub Date: 2024-08-27 DOI: 10.1159/000540844
Islam Y Swaify, Hany Hamza, Ayman M Khattab, Mohamed-Sameh H El-Agha, Mostafa A El-Helw, Tamer A Macky, Dina H Hassanein, Shaymaa H Salah, Alia M Noureldine, Alaa E Fayed, Yasmine Meqdad, Salma F Al-Etr, Layla El Qadi, Abdussalam M Abdullatif
{"title":"Clinical Features and Initial Management Outcomes of Uveal Melanomas in a Single Tertiary Center in Egypt.","authors":"Islam Y Swaify, Hany Hamza, Ayman M Khattab, Mohamed-Sameh H El-Agha, Mostafa A El-Helw, Tamer A Macky, Dina H Hassanein, Shaymaa H Salah, Alia M Noureldine, Alaa E Fayed, Yasmine Meqdad, Salma F Al-Etr, Layla El Qadi, Abdussalam M Abdullatif","doi":"10.1159/000540844","DOIUrl":"10.1159/000540844","url":null,"abstract":"<p><strong>Introduction: </strong>We aimed to report the demographic data, clinical features, and management outcomes of patients with uveal melanoma (UM) in a single tertiary center in Egypt.</p><p><strong>Methods: </strong>This is a single-center retrospective case series. Patients with UM who were managed at Cairo University Ocular Oncology Service between January 2019 and December 2023 were included. Records were analyzed for patients' demographics, clinical features and different management options. Outcomes included changes in best corrected visual acuity and tumor dimensions (thickness and largest base diameter), perioperative complications, globe salvage, and recurrence rates.</p><p><strong>Results: </strong>A total of 93 eyes of 93 patients with UM were treated in our service over a period of 5 years. The mean age of patients was 52.18 ± 13.30 years, and 91.4% of tumors were choroidal or ciliochoroidal. 52 eyes (55.91%) were managed with ruthenium-106 episcleral brachytherapy, of which two eyes required additional brachytherapy, 8 eyes ended with secondary enucleation, and the globe was salvaged in 84.62% of eyes. 8 eyes (8.60%) were managed by gamma knife radiosurgery with or without endoresection. One eye with an iridociliary tumor was managed with partial lamellar sclerouvectomy, and the remaining 32 eyes (34.41%) were primarily enucleated.</p><p><strong>Conclusion: </strong>Timely referral channels and accurate assessment of cases with UM are invaluable for achievement of higher success rates in tumor regression, as well as globe and/or vision salvage in eyes managed with brachytherapy. Patients with more advanced tumors should be counseled on the importance of more invasive options such as enucleation in achieving lower metastasis and mortality rates.</p>","PeriodicalId":19434,"journal":{"name":"Ocular Oncology and Pathology","volume":"10 4","pages":"189-196"},"PeriodicalIF":0.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11627542/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142807706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Two Cases of Intraocular Undifferentiated Pleomorphic Sarcoma. 眼内未分化多形性肉瘤2例。
IF 0.9
Ocular Oncology and Pathology Pub Date : 2024-12-01 Epub Date: 2024-09-27 DOI: 10.1159/000541063
Sodaba Khatab, Johanna Maria Colijn, Nicole Naus, Robert M Verdijk, Gijsbert Hötte
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