CyberKnife Robotic-Assisted Stereotactic Radiosurgery for Advanced Stages of Ciliochoroidal Uveal Melanoma. Preliminary Results in Mexico
Objective: The objective of this study was to report the early results of CyberKnife® (CK®) stereotactic radiosurgery in advanced stages of ciliochoroidal (CBCh) melanoma in Mexican patients.
Methods: A retrospective review of charts was performed to analyze the outcomes of patients who underwent CK® (Accuray Inc, Sunnyvale, CA, United States).
Results: Four patients with CBCh melanoma were treated under this protocol. The mean age was 53.2 ± 5.3 years (range, 47-60). Median of follow-up was 9.5 ± 3.1 months (range, 5-12). Mean tumor diameter was 13.49 mm, mean thickness, 11.74 mm, and mean gross tumor volume was 1251.97 mm3. Tumors were dome- (50%) and mushroom-shaped (50%) in medium-to-large sizes. Three patients had T3b tumors, and one had a T4d tumor at the early tumor staging according to the American Joint Committee on Cancer. A mean dose of 2763 ± 181.3 cGy was prescribed to the 90% isodose line. All patients achieved local tumor control after single-session radiosurgery at the latest follow-up. One patient presented with acute toxicity (extensive serous retinal detachment associated with radiation induced tumor vasculopathy) that was promptly managed. None of the patients required secondary enucleation.
Conclusions: CK® appears to be an effective therapy for medium to large-sized CBCh melanoma. A prospective comparative study with longer follow-up is needed to confirm these findings and to evaluate long-term morbidity.
Ortiz-Morales, Gustavo; Dominguez-Varela, Irving; Gomez-Elizondo, Daniela E.; Perez-Ramos, Erik; González-Godínez, Sara; y Méndez, Dione Aguilar; Estrada-Hernández, Christian; Corral, Ramiro; Zamorano-Gómez, Octavio; Shields, Carol L.; Dalvin, Lauren A.; Gonzalez-Monroy, Efren; and Ancona-Lezama, David, "CyberKnife Robotic-Assisted Stereotactic Radiosurgery for Advanced Stages of Ciliochoroidal Uveal Melanoma. Preliminary Results in Mexico" (2022). Wills Eye Hospital Papers. Paper 178.
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This article is the author's final published version in Revista Mexicana de Oftalmologia (Eng.), Volume 95, Issue 5, Pg. 201 - 208.
The published version is available at https://doi.org/10.24875/RMOE.M22000230. Copyright © 2022 Sociedad Mexicana de Oftalmología. Published by Permanyer.