open access

Vol 72, No 5 (2022)
Guidelines / Expert consensus
Published online: 2022-10-19
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Diagnostic and therapeutic management of patients with ocular melanomas – recommendations of the Polish Society of Oncology

Piotr Rutkowski1, Bożena Romanowska-Dixon2, Anna Markiewicz2, Krzysztof Zieniewicz3, Katarzyna Kozak1, Paweł Rogala1, Tomasz Świtaj1, Monika Dudzisz-Sledź1
DOI: 10.5603/NJO.2022.0054
·
Nowotwory. Journal of Oncology 2022;72(5):342-352.
Affiliations
  1. Department of Soft Tissue/Bone Sarcoma and Melanoma, Maria Skłodowska-Curie National Research Institute of Oncology, Warsaw, Poland
  2. Department of Ophthalmology, Clinic of Ophthalmology and Ocular Oncology, Jagiellonian University, Medical College, Krakow, Poland
  3. Department of General, Transplant and Liver Surgery, Medical University of Warsaw, Warsaw, Poland

open access

Vol 72, No 5 (2022)
Guidelines and recommendations
Published online: 2022-10-19

Abstract

Uveal melanoma is the most common malignant neoplasm of the eyeball, developing from melanocytes of the uveal membrane of the eye, which is significantly different from melanoma of the conjunctiva, mucous membranes and skin. The management of this disease is therefore different from that of other forms of melanoma. The disease is most often confined to the eye and its local treatment includes radiation therapy and surgery. Some patients, despite successful local treatment, develop distant metastases, most often located in the liver. The guidelines presented here cover the principles of diagnosis, prognostic evaluation and treatment of both the disease confined to the eyeball and the disease at the metastatic stage. The principles of management of conjunctival melanoma are also discussed. The recommen­dations are based on a review of the literature and expert opinion, and are accompanied by an assessment of their strength and reliability.

Abstract

Uveal melanoma is the most common malignant neoplasm of the eyeball, developing from melanocytes of the uveal membrane of the eye, which is significantly different from melanoma of the conjunctiva, mucous membranes and skin. The management of this disease is therefore different from that of other forms of melanoma. The disease is most often confined to the eye and its local treatment includes radiation therapy and surgery. Some patients, despite successful local treatment, develop distant metastases, most often located in the liver. The guidelines presented here cover the principles of diagnosis, prognostic evaluation and treatment of both the disease confined to the eyeball and the disease at the metastatic stage. The principles of management of conjunctival melanoma are also discussed. The recommen­dations are based on a review of the literature and expert opinion, and are accompanied by an assessment of their strength and reliability.

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Keywords

ocular melanoma; conjunctival melanoma

About this article
Title

Diagnostic and therapeutic management of patients with ocular melanomas – recommendations of the Polish Society of Oncology

Journal

Nowotwory. Journal of Oncology

Issue

Vol 72, No 5 (2022)

Article type

Guidelines / Expert consensus

Pages

342-352

Published online

2022-10-19

Page views

143

Article views/downloads

52

DOI

10.5603/NJO.2022.0054

Bibliographic record

Nowotwory. Journal of Oncology 2022;72(5):342-352.

Keywords

ocular melanoma
conjunctival melanoma

Authors

Piotr Rutkowski
Bożena Romanowska-Dixon
Anna Markiewicz
Krzysztof Zieniewicz
Katarzyna Kozak
Paweł Rogala
Tomasz Świtaj
Monika Dudzisz-Sledź

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