Evaluation of tumor regression and other prognostic factors for early and late metastasis after proton irradiation of uveal melanoma.

Abstract:

:The authors examined the relationship of change in tumor height after proton beam irradiation with the risk of metastasis in 700 patients treated for uveal melanoma before July 1, 1986. Rates of change in tumor height were computed for each patient using follow-up ultrasonographic measures during the first 2 years after treatment. Risk of metastasis was evaluated separately in the first 2 years after treatment when tumor decline was assessed (concurrent metastasis), and 2 years or later after treatment (subsequent metastasis). Using Cox proportional hazards models to adjust for other known risk factors, tumors regressing rapidly were significantly more likely to metastasize concurrently with their regression (P less than 0.05). The opposite was found for subsequent metastasis: tumors with a slow annual decline were more likely to metastasize after 2 years after treatment (P less than 0.05). Substantial changes also were noted in the ability of previously described prognostic factors (largest tumor diameter, tumor height, ciliary body involvement, and patient's age) to predict early and late metastasis. Characteristics placing individuals at high risk of metastasis may change markedly with time after treatment.

journal_name

Ophthalmology

journal_title

Ophthalmology

authors

Glynn RJ,Seddon JM,Gragoudas ES,Egan KM,Hart LJ

doi

10.1016/s0161-6420(89)32685-6

subject

Has Abstract

pub_date

1989-10-01 00:00:00

pages

1566-73

issue

10

eissn

0161-6420

issn

1549-4713

pii

S0161-6420(89)32685-6

journal_volume

96

pub_type

杂志文章
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    更新日期:2012-12-01 00:00:00

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    doi:10.1016/s0161-6420(95)30963-3

    authors: Tu EY,Culbertson WW,Pflugfelder SC,Huang A,Chodosh JC

    更新日期:1995-05-01 00:00:00

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    更新日期:2009-11-01 00:00:00

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    更新日期:2010-09-01 00:00:00

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    doi:10.1016/s0161-6420(00)00246-3

    authors: Holland SP,Mathias RG,Morck DW,Chiu J,Slade SG

    更新日期:2000-07-01 00:00:00

  • The Endophthalmitis Vitrectomy Study. Relationship between clinical presentation and microbiologic spectrum.

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    authors: Johnson MW,Doft BH,Kelsey SF,Barza M,Wilson LA,Barr CC,Wisniewski SR

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    journal_title:Ophthalmology

    pub_type: 杂志文章

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    更新日期:2012-02-01 00:00:00

  • Previous Intravitreal Therapy Is Associated with Increased Risk of Posterior Capsule Rupture during Cataract Surgery.

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    journal_title:Ophthalmology

    pub_type: 杂志文章,多中心研究

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    更新日期:2016-06-01 00:00:00

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    journal_title:Ophthalmology

    pub_type: 杂志文章

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    更新日期:2013-06-01 00:00:00

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    journal_title:Ophthalmology

    pub_type: 杂志文章,随机对照试验

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  • Age and gender variations in age-related macular degeneration prevalence in populations of European ancestry: a meta-analysis.

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    pub_type: 杂志文章,meta分析,评审

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    更新日期:2012-03-01 00:00:00

  • Genes in the high-density lipoprotein metabolic pathway in age-related macular degeneration and polypoidal choroidal vasculopathy.

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    更新日期:2014-04-01 00:00:00

  • Visual function abnormalities and prognosis in eyes with age-related geographic atrophy of the macula and good visual acuity.

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    pub_type: 杂志文章

    doi:10.1016/s0161-6420(97)30079-7

    authors: Sunness JS,Rubin GS,Applegate CA,Bressler NM,Marsh MJ,Hawkins BS,Haselwood D

    更新日期:1997-10-01 00:00:00

  • Progression of scleral disease.

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    pub_type: 杂志文章

    doi:10.1016/s0161-6420(91)32269-3

    authors: Tuft SJ,Watson PG

    更新日期:1991-04-01 00:00:00

  • Human corneal anatomy redefined: a novel pre-Descemet's layer (Dua's layer).

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    journal_title:Ophthalmology

    pub_type: 杂志文章

    doi:10.1016/j.ophtha.2013.01.018

    authors: Dua HS,Faraj LA,Said DG,Gray T,Lowe J

    更新日期:2013-09-01 00:00:00

  • Ocular abnormalities occurring with vitiligo.

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    journal_title:Ophthalmology

    pub_type: 杂志文章

    doi:10.1016/s0161-6420(79)35413-6

    authors: Albert DM,Nordlund JJ,Lerner AB

    更新日期:1979-06-01 00:00:00

  • Conjunctival prolapse: a simple and effective treatment.

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    journal_title:Ophthalmology

    pub_type: 杂志文章

    doi:10.1016/S0161-6420(99)00520-5

    authors: Liu D

    更新日期:1999-05-01 00:00:00

  • Retreatment after photorefractive keratectomy for low myopia.

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    journal_title:Ophthalmology

    pub_type: 杂志文章

    doi:10.1016/S0161-6420(98)97018-X

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    更新日期:1998-07-01 00:00:00

  • Diffuse visual field loss in open-angle glaucoma.

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    pub_type: 杂志文章

    doi:10.1016/s0161-6420(91)32092-x

    authors: Drance SM

    更新日期:1991-10-01 00:00:00

  • Ocular injuries from paintball pellets.

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    journal_title:Ophthalmology

    pub_type: 杂志文章

    doi:10.1016/S0161-6420(99)90112-4

    authors: Thach AB,Ward TP,Hollifield RD,Dugel PU,Sipperley JO,Marx JL,Abrams DA,Wroblewski KJ,Sonkin PL,Birdsong RH,Dunlap WA

    更新日期:1999-03-01 00:00:00

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    journal_title:Ophthalmology

    pub_type: 杂志文章

    doi:10.1016/s0161-6420(85)34050-2

    authors: Nishida T,Nakagawa S,Manabe R

    更新日期:1985-02-01 00:00:00

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    pub_type: 杂志文章

    doi:10.1016/s0161-6420(95)30990-6

    authors: Yuzawa M,Kawamura A,Yamaguchi C,Shouda M,Shimoji M,Matsui M

    更新日期:1995-04-01 00:00:00

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    abstract:OBJECTIVE:To study the prevalence of undercorrected refractive error and associated sociodemographic factors among Singaporean Chinese adults. DESIGN:Cross-sectional, population-based survey. PARTICIPANTS:Singaporean Chinese adults aged 40 to 79 years (n = 1152). METHODS:The Singapore electoral register of Tanjong P...

    journal_title:Ophthalmology

    pub_type: 杂志文章

    doi:10.1016/j.ophtha.2004.05.032

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    更新日期:2004-12-01 00:00:00

  • A new technique for suture fixation of posterior chamber intraocular lenses that eliminates intraocular knots.

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    pub_type: 杂志文章

    doi:10.1016/S0161-6420(03)00467-6

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    更新日期:2003-07-01 00:00:00

  • Automated lamellar keratoplasty. American Academy of Ophthalmology.

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    doi:

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    更新日期:1996-05-01 00:00:00

  • Clinical classification of age-related macular degeneration.

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    pub_type: 杂志文章

    doi:10.1016/j.ophtha.2012.10.036

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    更新日期:2013-04-01 00:00:00

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  • Polymerase chain reaction detection of Neisseria meningitidis in the intraocular fluid of a patient with endogenous endophthalmitis but without associated meningitis.

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    pub_type: 杂志文章

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    authors: Worthen DM,Boucher JA,Buxton JN,Hayreh SS,Lowther G,Reinecke RD,Spencer WH,Talbott M,Weeks DF

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  • Prevalence of Subretinal Drusenoid Deposits in Older Persons with and without Age-Related Macular Degeneration, by Multimodal Imaging.

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    更新日期:2016-05-01 00:00:00