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Klin Monbl Augenheilkd 2019; 236(04): 422-424
DOI: 10.1055/a-0796-6299
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Georg Thieme Verlag KG Stuttgart · New York

Distant Subconjunctival Recurrences following Proton Therapy for a Choroidal Melanoma with Extrascleral Extension

Entfernte subkonjunktivale Rezidive nach Protonentherapie für ein choroidales Melanom mit extraskleraler Extension
Victoria Mouvet
1   Jules-Gonin Eye Hospital, Department of Ophthalmology, University of Lausanne, FAA, Switzerland
,
Alexandre Moulin
1   Jules-Gonin Eye Hospital, Department of Ophthalmology, University of Lausanne, FAA, Switzerland
,
Alessia Pica
2   Center for Proton Therapy, Paul Scherrer Institute, ETH Domain, Villigen, Switzerland
,
Ann Schalenbourg
1   Jules-Gonin Eye Hospital, Department of Ophthalmology, University of Lausanne, FAA, Switzerland
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Publikationsverlauf

received 20. September 2018

accepted 12. November 2018

Publikationsdatum:
18. April 2019 (online)

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Background

Orbital recurrences after proton therapy for uveal melanoma are rare. They either occur in cases with an extrascleral extension at presentation [1], [2] or following transvitreal surgery or a transscleral biopsy [3], [4]. The former tends to be located outside the scleral wall facing the tumor scar and the latter at the site of scleral entry. We report our first case since 1984 of a double distant subconjunctival recurrence from a choroidal melanoma with an extrascleral extension at presentation, treated with proton therapy and without a biopsy procedure.

 

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