When is postoperative radiation indicated after enucleation of an ocular melanoma?

Is extrascleral extension or optic nerve invasion an indication? I can find little in the literature or textbooks discussing this issue, likely due to the rarity of this disease.

Answer from: Radiation Oncologist at Academic Institution

Difficult question to answer because a rare situation with limited data. Drawing on data from the Collaborative Ocular Melanoma Study (COMS), orbital recurrence after enucleation is uncommon. From COMS Report 11 of patients enucleated for large uveal melanomas, the likelihood of orbital ...

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Radiation Oncologist at Scott & White Healthcare
Thank you @Christopher A. Barker. Your analysis an...

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When is postoperative radiation indicated after enucleation of an ocular melanoma?

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