Patients Presenting with Stage IV Uveal Melanoma
January 4, 2022: Patients presenting with choroidal melanoma must be checked for metastatic “Stage IV” melanoma before their eye surgery. What makes this difficult is that in the modern era, almost all patients have no symptoms and most centers only check the liver for metastasis. Just published in the Indian Journal of Ophthalmology, Drs. Gaurav Garg, Tero T. Kivelä and Paul T. Finger reviewed the literature for clinical characteristics of patients presenting with Stage IV metastatic uveal melanoma and how they were diagnosed. When they focused on the results from their international multicenter registry study, they found that when total body PET/CT scanning was initially employed, it more commonly revealed multi-organ disease. Garg et al’s “lessons learned” teaches about Stage IV uveal melanoma, how it can be detected, and its outcomes.
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