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Topics:
Radiation Oncology • Melanoma/Skin Cancer
How do you approach treatment for a patient with uveal melanoma who is not a candidate for plaque brachytherapy
What are the surgical and radiation options?
What dose and fractionation scheme is appropriate for fractionated SRS?
Answer from: Radiation Oncologist at Academic Institution
If plaque brachytherapy is not possible, we consider proton beam therapy to a dose of 50 Gy/5 fractions. Enucleation of the eye is the surgical alternative.
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Answer from: Radiation Oncologist at Academic Institution
Protons.
We use a 4 fraction regimen which is attractive compared with two surgical procedures.