Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

β-Irradiation of Choroidal Melanoma With 106Ru/106Rh Applicators: 16 Years' Experience

β-Irradiation of Choroidal Melanoma With 106Ru/106Rh Applicators: 16 Years' Experience Abstract • From 1964 to 1980, 205 patients with choroidal melanoma were treated with 106Ru/106Rh β-ray applicators (8,000 to 10,000 rad at the summit of the tumor within 14 days). In 132 (64.4%) cases, this treatment was successful. Thirty-six (17.6%) had to be enucleated after irradiation and 37 died, 21 of them of metastases. Of the 132 successfully treated patients, 60 (45.5%) had flat scars and 34 (25.8%) retained a visual acuity of 0.5 to 1.5. Radiogenic late complications with damage to the retinal capillary system were the main causes of visual deterioration, especially in eyes with tumors close to the posterior pole. The survival rate of 85.1% after five years is substantially higher than that for patients who were primarily treated with enucleation. References 1. Zimmerman LE, McLean IW, Foster WD: Does enucleation of the eye containing a malignant melanoma prevent or accelerate the dissemination of tumor cells? Br J Ophthalmol 1978;62:420-425.Crossref 2. Zimmerman LE, McLean IW: Effect of enucleation on uveal melanomas . Am J Ophthalmol 1979;87:741-760. 3. Boniuk M: A crisis in the management of patients with choroidal melanoma . Am J Ophthalmol 1979;87:840-842. 4. Jakobiec FA: A moratorium on enucleation for choroidal melanoma . Am J Ophthalmol 1979;87:842-846. 5. Freundlich HF: A new beta-ray applicator using fission products . Nature 1949;164:308-310.Crossref 6. Lommatzsch PK: Treatment of choroidal melanomas with Ru-106/Rh-106 beta-ray applicators . Surv Ophthalmol 1974;19:85-100. 7. Lommatzsch PK: Radiotherapie der intraokularen Tumoren, insbesondere bei Aderhautmelanom . Klin Monatsbl Augenheilkd 1979;174:948-958. 8. Stallard HB: Radiotherapy for malignant melanoma of the choroid . Br J Ophthalmol 1966;50:147-155.Crossref 9. Guthoff R: Modellmessungen zur Volumenbestimmung des malignen Aderhautmelanoms . Albrecht Von Graefes Arch Klin Exp Ophthalmol 1980;214:139-146.Crossref 10. MacFaul PA: Local radiotherapy in the treatment of malignant melanoma of the choroid . Trans Ophthal 1977;97:421-427. 11. Packer S, Rotman M, Fairchild RG, et al: Irradiation of choroidal melanoma with iodine 125 ophthalmic plaque . Arch Opththalmol 1980;98:1453-1457.Crossref 12. Rotman M, Long RS, Packer S, et al: Radiation therapy of choroidal melanoma . Trans Ophthalmol Soc UK 1977;97:431-435. 13. Haddow A, Alexander P: An immunological method of increasing the sensitivity of primary sarcomas to local irradiation with X rays . Lancet 1964;1:452-457.Crossref 14. Gragoudas ES, Goitein M, Verhey L, et al: Proton beam irradiation: An alternative to enucleation for intraocular melanomas . Ophthalmology 1980;87:571-581.Crossref 15. Char DH, Castro JR, Quivey JM, et al: Helium ion charged particle therapy for choroidal melanoma . Ophthalmology 1980;87:565-570.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

β-Irradiation of Choroidal Melanoma With 106Ru/106Rh Applicators: 16 Years' Experience

Archives of Ophthalmology , Volume 101 (5) – May 1, 1983

Loading next page...
 
/lp/american-medical-association/irradiation-of-choroidal-melanoma-with-106ru-106rh-applicators-16-p5epe44ykA

References (18)

Publisher
American Medical Association
Copyright
Copyright © 1983 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1983.01040010713002
Publisher site
See Article on Publisher Site

Abstract

Abstract • From 1964 to 1980, 205 patients with choroidal melanoma were treated with 106Ru/106Rh β-ray applicators (8,000 to 10,000 rad at the summit of the tumor within 14 days). In 132 (64.4%) cases, this treatment was successful. Thirty-six (17.6%) had to be enucleated after irradiation and 37 died, 21 of them of metastases. Of the 132 successfully treated patients, 60 (45.5%) had flat scars and 34 (25.8%) retained a visual acuity of 0.5 to 1.5. Radiogenic late complications with damage to the retinal capillary system were the main causes of visual deterioration, especially in eyes with tumors close to the posterior pole. The survival rate of 85.1% after five years is substantially higher than that for patients who were primarily treated with enucleation. References 1. Zimmerman LE, McLean IW, Foster WD: Does enucleation of the eye containing a malignant melanoma prevent or accelerate the dissemination of tumor cells? Br J Ophthalmol 1978;62:420-425.Crossref 2. Zimmerman LE, McLean IW: Effect of enucleation on uveal melanomas . Am J Ophthalmol 1979;87:741-760. 3. Boniuk M: A crisis in the management of patients with choroidal melanoma . Am J Ophthalmol 1979;87:840-842. 4. Jakobiec FA: A moratorium on enucleation for choroidal melanoma . Am J Ophthalmol 1979;87:842-846. 5. Freundlich HF: A new beta-ray applicator using fission products . Nature 1949;164:308-310.Crossref 6. Lommatzsch PK: Treatment of choroidal melanomas with Ru-106/Rh-106 beta-ray applicators . Surv Ophthalmol 1974;19:85-100. 7. Lommatzsch PK: Radiotherapie der intraokularen Tumoren, insbesondere bei Aderhautmelanom . Klin Monatsbl Augenheilkd 1979;174:948-958. 8. Stallard HB: Radiotherapy for malignant melanoma of the choroid . Br J Ophthalmol 1966;50:147-155.Crossref 9. Guthoff R: Modellmessungen zur Volumenbestimmung des malignen Aderhautmelanoms . Albrecht Von Graefes Arch Klin Exp Ophthalmol 1980;214:139-146.Crossref 10. MacFaul PA: Local radiotherapy in the treatment of malignant melanoma of the choroid . Trans Ophthal 1977;97:421-427. 11. Packer S, Rotman M, Fairchild RG, et al: Irradiation of choroidal melanoma with iodine 125 ophthalmic plaque . Arch Opththalmol 1980;98:1453-1457.Crossref 12. Rotman M, Long RS, Packer S, et al: Radiation therapy of choroidal melanoma . Trans Ophthalmol Soc UK 1977;97:431-435. 13. Haddow A, Alexander P: An immunological method of increasing the sensitivity of primary sarcomas to local irradiation with X rays . Lancet 1964;1:452-457.Crossref 14. Gragoudas ES, Goitein M, Verhey L, et al: Proton beam irradiation: An alternative to enucleation for intraocular melanomas . Ophthalmology 1980;87:571-581.Crossref 15. Char DH, Castro JR, Quivey JM, et al: Helium ion charged particle therapy for choroidal melanoma . Ophthalmology 1980;87:565-570.Crossref

Journal

Archives of OphthalmologyAmerican Medical Association

Published: May 1, 1983

There are no references for this article.