Cargando…
Exoresection and Endoresection for Uveal Melanoma
Surgical resection of uveal melanomas is an alternative eye-salvaging approach to the more commonly used irradiation techniques. There are two surgical resection techniques: Transscleral resection or “Exoresection” via a partial lamellar sclerouvectomy and “Endoresection” via a pars plana vitrectomy...
Autores principales: | , |
---|---|
Formato: | Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications
2010
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2934712/ https://www.ncbi.nlm.nih.gov/pubmed/20844676 http://dx.doi.org/10.4103/0974-9233.65494 |
_version_ | 1782186356844265472 |
---|---|
author | Gündüz, Kaan Bechrakis, Nikolaos E. |
author_facet | Gündüz, Kaan Bechrakis, Nikolaos E. |
author_sort | Gündüz, Kaan |
collection | PubMed |
description | Surgical resection of uveal melanomas is an alternative eye-salvaging approach to the more commonly used irradiation techniques. There are two surgical resection techniques: Transscleral resection or “Exoresection” via a partial lamellar sclerouvectomy and “Endoresection” via a pars plana vitrectomy. While exoresection is more applicable to anteriorly located tumors with ciliary body and/or iris involvement, endoresection is more suitable for posteriorly located tumor without ciliary body involvement. Both approaches are suitable for large tumors with >8 mm in thickness. In general, eyes containing these large tumors have a very dismal prognosis regarding long-term visual function, eye retention, and irradiation-induced side effects. By removing the tumor burden from the eye, histopathologic and cytogenetic information of the tumor is available and complications associated with the so-called toxic tumor syndrome are avoided. However, both types of surgical resection are challenging surgical procedures, bearing the risk of early and late postoperative complications. |
format | Text |
id | pubmed-2934712 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2010 |
publisher | Medknow Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-29347122010-09-15 Exoresection and Endoresection for Uveal Melanoma Gündüz, Kaan Bechrakis, Nikolaos E. Middle East Afr J Ophthalmol Symposium – Oncology Update Surgical resection of uveal melanomas is an alternative eye-salvaging approach to the more commonly used irradiation techniques. There are two surgical resection techniques: Transscleral resection or “Exoresection” via a partial lamellar sclerouvectomy and “Endoresection” via a pars plana vitrectomy. While exoresection is more applicable to anteriorly located tumors with ciliary body and/or iris involvement, endoresection is more suitable for posteriorly located tumor without ciliary body involvement. Both approaches are suitable for large tumors with >8 mm in thickness. In general, eyes containing these large tumors have a very dismal prognosis regarding long-term visual function, eye retention, and irradiation-induced side effects. By removing the tumor burden from the eye, histopathologic and cytogenetic information of the tumor is available and complications associated with the so-called toxic tumor syndrome are avoided. However, both types of surgical resection are challenging surgical procedures, bearing the risk of early and late postoperative complications. Medknow Publications 2010 /pmc/articles/PMC2934712/ /pubmed/20844676 http://dx.doi.org/10.4103/0974-9233.65494 Text en © Middle East African Journal of Ophthalmology http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Symposium – Oncology Update Gündüz, Kaan Bechrakis, Nikolaos E. Exoresection and Endoresection for Uveal Melanoma |
title | Exoresection and Endoresection for Uveal Melanoma |
title_full | Exoresection and Endoresection for Uveal Melanoma |
title_fullStr | Exoresection and Endoresection for Uveal Melanoma |
title_full_unstemmed | Exoresection and Endoresection for Uveal Melanoma |
title_short | Exoresection and Endoresection for Uveal Melanoma |
title_sort | exoresection and endoresection for uveal melanoma |
topic | Symposium – Oncology Update |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2934712/ https://www.ncbi.nlm.nih.gov/pubmed/20844676 http://dx.doi.org/10.4103/0974-9233.65494 |
work_keys_str_mv | AT gunduzkaan exoresectionandendoresectionforuvealmelanoma AT bechrakisnikolaose exoresectionandendoresectionforuvealmelanoma |