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How Can A Choroidal Melanoma Be Treated?
Question: My nephew, 26 old young boy has been diagnosed by eye specialist centre with a large choroidal melanoma with height of tumor 11 mm in his left eye, does the 11 mm height size of tumor considered malignant & eye should remove? & does enucleation with ball implant advisable in this case or there are an alternative treatments?
Kindly, advise me about this diagnosis & latest treatment for such cases
Kindly, advise me about this diagnosis & latest treatment for such cases
Brief Answer:
Enucleation is the first treatment of choice.
Detailed Answer:
Dear XXXX, Hi & Welcome.
Thanks for posting your query on healthcare magic.
I have gone through its content and sorry to know that your nephew is being diagnosed to have a large choroidal melanoma.
It is a cancer that develops in the choroid, a sponge-like membrane at the back of the eye between the sclera (the white of the eye) and the retina.
Diagnosis is usually made by ophthalmoscope, ultrasound and/or MRI scan.
The standard treatment for a large tumor is enucleation.
After the eye with melanoma is removed, an implant is inserted into the same position, and the muscles controlling movement of the eye are attached to the implant, which allows the implant to move. After giving some time to heal, an artificial eye (prosthesis) is made.
The other effective treatment is radiotherapy. However, the amount of radiation required to destroy a choroidal melanoma that fills most of the eye may be too much for the eye to tolerate. After radiation for such large choroidal melanoma, these eyes are at greater risk to have poor vision, to become uncomfortable and may have to be secondarily removed.
In general, the prognosis depends upon the size of the tumor. Larger the tumor the prognosis is not good for both vision and metastasis.
Hope these answer your query, however if you have any follow up query, please feel free to send it.
Best wishes for your nephew.
Enucleation is the first treatment of choice.
Detailed Answer:
Dear XXXX, Hi & Welcome.
Thanks for posting your query on healthcare magic.
I have gone through its content and sorry to know that your nephew is being diagnosed to have a large choroidal melanoma.
It is a cancer that develops in the choroid, a sponge-like membrane at the back of the eye between the sclera (the white of the eye) and the retina.
Diagnosis is usually made by ophthalmoscope, ultrasound and/or MRI scan.
The standard treatment for a large tumor is enucleation.
After the eye with melanoma is removed, an implant is inserted into the same position, and the muscles controlling movement of the eye are attached to the implant, which allows the implant to move. After giving some time to heal, an artificial eye (prosthesis) is made.
The other effective treatment is radiotherapy. However, the amount of radiation required to destroy a choroidal melanoma that fills most of the eye may be too much for the eye to tolerate. After radiation for such large choroidal melanoma, these eyes are at greater risk to have poor vision, to become uncomfortable and may have to be secondarily removed.
In general, the prognosis depends upon the size of the tumor. Larger the tumor the prognosis is not good for both vision and metastasis.
Hope these answer your query, however if you have any follow up query, please feel free to send it.
Best wishes for your nephew.
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Answered by
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