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NR 10-12/2005
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Leczenie
chirurgiczne czerniaka tęczówki
Surgical management of iris
melanoma
Bożena Romanowska-Dixon
Z Katedry i Kliniki Okulistyki Collegium Medicum Uniwersytetu
Jagiellońskiego w Krakowie
Kierownik: dr hab. n. med. Bożena Romanowska-Dixon |
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| Summary: |
Purpose: To
describe the own experiences of surgical treatment of
iris melanomas.
Material and methods: 56 patients with iris
melanoma were treated between January 1995 and June
2001. Two surgical modalities were used depend on tumor
location: partial iridectomy (in 45 cases) or
transscleral iridotrabeculectomy (in 11 cases with the
iridocorneal angle involvement). Additional ruthenium
brachytherapy was performed in 3 cases.
Results: There were no any complications during
surgery. Filtration bleb occurred in 1 patient during
post-operative follow-up. Local recurrence of melanoma
successfuly treated with ruthenium plaque appeared in
one person. Histologically, the majority were spindle B
melanomas (70%), mixed in 27% and epithelioid in 3%. The
visual acuity was better or not changed in 90% of cases.
Conclusions: Surgical management of iris melanoma
seems to be save and effective treatment. |
| Słowa kluczowe: |
czerniak tęczówki,
leczenie chirurgiczne. |
| Key words: |
iris melanoma, surgical
treatment. |
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