Summary
Sixty-eight patients suffering from conjunctival melanoma were treated by beta-irradiation. The dose given ranged between 15,000 and 20,000 rd at the tumor surface. In 75% the therapy was successful. In 67,4% the melanoma could be cured by beta-irradiation alone with a follow-up period between three and ten years. The lethality rate from proven metastases was only 6.2%. The regression time after beta-therapy, as a rule, exceeded several months. Beta-rays can be used either primarily or after tumor excision. Care should be taken that the applicator covers all the tissue containing tumor cells.
Zusammenfassung
68 Patienten mit einem Bindehautmelanom wurden mit Betabestrahlung behandelt. Die applizierte Dosis betrug 15,000 bis 20,000 rd an der Tumoroberfläche. In 75% war die Behandlung erfolgreich. In 67,4% konnte das Melanom allein durch die Betabestrahlung bei einer Nachkontrollzeit zwischen 3 und 10 Jahren geheilt werden. Die Letalitätsrate betrug 6,1%. Die Rückbildungszeit nach der Betastrahlung erforderte in der Regel mehrere Monate. Die Betabestrahlung kann entweder allein oder nach der Tumorexcision durchgeführt werden. Es muß dabei sorgsam darauf geachtet werden, daß der Applikator das vom Tumor befallene Gewebe vollständig bedeckt.
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References
Bernardino, V.B., Naidoff, M.A., Clark, W.H.: Malignant melanomas of the conjunctiva. Amer. J. Ophthalm. 82, No. 3, 383–394 (1976)
Elias, E.G., Didolkar, M.S., Goel, I.P., Formeister, J.F., Valenzuela, L.A., Pickren, J.L., Moore, R.H.: A clinicopathologic study of prognostic factors in cutaneous malignant melanoma. Surgery, Gynecology & Obstetrics 144, 327–334 (1977)
Elsas, J., Green, W.R, Ryan, S.J.: Benign pigmented tumors arising in acquired conjunctival melanosis. Amer. J. Ophthal. 78, No. 2, 229–232 (1974)
Friedell, H.L., Thomas, C.J., Krohmer, J.S.: An evaluation of the clinical use of a strontium 90 betaray applicator with a review of the underlying principles. Amer. J. Roentgenol. 71, 25–39 (1954)
Geelhoed, G.W., Breslow, A., Mc Cune, W.S.: Malignant melanoma: correlation of long-term follow-up with clinical staging, level of invasion and thickness of the primary tumor. The Amer. Surgeon 43, No. 2, 77–85 (1977)
Lederman, M.: Radiotherapy of malignant melanomata of the eye. Brit. J. Radiology Vol. XXXIV, 397, 21–42 (1961)
Lederman, M.: Discussion of Pigmented tumors of the conjunctiva. In: “Ocular and Adnexal tumors”. M. Boniuk, C.V. Mosby Company, 1964, p. 32–40
Lommatzsch, P., Vollmar, R.: Einige Ergebnisse der Betatherapie bei epibulbären Tumoren. Klin. Mbl. Augenheilk. 144, 856–871 (1964)
Lommatzsch, P.: Beta-ray treatment of malignant epithelial tumors of the conjunctiva. Amer. J. Ophthalm. 81, 198–206 (1976)
Miller, D., Carroll, J.M., Hohnberg, A., Schulz, M.D., Wipfelder, R.: Radioactive scleral shells in the treatment of conjunctival tumors. Amer. J. Ophthalm. 70, 783–786 (1970)
Naidoff, M.A., Bernadino, V.B., Clark, W.H.: Melanotic lesions of the eyelid skin. Amer. J. Ophthalm. 82, Nor. 3, 371–382 (1976)
Notter, G.: Das maligne epibulbäre Melanom. Strahlentherapie 96, 518–537 (1955)
Reese, A.B.: Precancerous and cancerous melanosis. Amer. J. Ophthalm. 61, (II), 1272–1277 (1966)
Reese, A.B.: Tumors of the eye. Third Edition. New York, San Francisco, London: Harper & Row 1976
Schlieter, F.: Konservative Therapie des malignen Melanoms der Bindehaut, enststanden auf dem Boden einer melanotischen Präblastomatose Dubreuilh. Klin. Mbl. Augenknheilk. 161, 416–424 (1972)
Storck, H., Ott, F., Schwarz, K.: Maligne Melanome. In: Handbuch der Medizin. Radiologie, Band 29. Berlin-Göttingen-Heidelberg-New York: Springer 1972
Thiel, R.: Die bösartigen Geschwülste der Bindehaut. „Krebsprobleme in der Augenheilkunde“. (R. Thiel, ed.), Stuttgart: Enke 1965 (Bücherei des Augenarztes, Heft 44)
Yanoff, M., Fine, B.S.: Ocular pathology: A text and atlas. New York, San Francisco, London: Harper & Row 1975
Zimmerman, L.E.: Pigmented tumors of the conjunctiva. In: „Ocular and adnexal tumors” (1964) (M. Boniuk, eds.), p. 25. Saint Louis: C.V. Mosby Company 1964
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Lommatzsch, P.K. Beta-ray treatment of malignant epibulbar melanoma. Albrecht von Graefes Arch. Klin. Ophthalmol. 209, 111–124 (1978). https://doi.org/10.1007/BF00407844
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DOI: https://doi.org/10.1007/BF00407844