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Metastatic Uveal Melanoma: Title and subTitle BreakCorrelation Between Survival Time and Cytomorphometry of Primary Tumors FREE

Larry A. Donoso, MD, PhD; James J. Augsburger, MD; Jerry A. Shields, MD; Richard A. Greenberg, PhD; John Gamel, MD
[+] Author Affiliations

Accepted for publication Aug 5, 1985.

Reprint requests to Wills Eye Hospital, Research Division, Ninth and Walnut streets, Philadelphia, PA 19107 (Dr Donoso).


Arch Ophthalmol. 1986;104(1):76-78. doi:10.1001/archopht.1986.01050130086026
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• The length of survival time following enucleation was determined for 29 patients with primary malignant melanoma of the choroid and ciliary body who subsequently died of metastatic disease. Histologic sections of the 29 tumors were studied by standard light microscopic techniques and computerized morphometry. The largest diameter of each tumor was measured on the 37% formaldehydefixed, paraffin-embedded slides; a cell type was assigned to each tumor on the basis of histologic study, using the modified Callender cell-type classification system; and inverse standard deviation of the nucleolar area (ISDNA) was determined for each tumor by computerized morphometric analysis. The observed deathorder of these patients was then compared with the death-order predicted by ranking cases in ascending order of age at treatment, size of tumor, cell type, and ISDNA. Using rank-order correlation coefficient tests, only the correlation between ISDNA rank-order and observed deathorder was found to be statistically significant. We believe that the limitations of the modified Callender cell-type classification system in predicting length of survival time following enucleation are related to the relatively few categories (four) in which to classify tumors, whereas the ISDNA represents a continuous spectrum of unlimited categories. As such, ISDNA can be more discriminant in selecting tumors of high malignant potential.

REFERENCES

McLean IW, Foster WD, Zimmerman LE:  Prognostic factors in small malignant melanomas of choroid and ciliary body . Arch Ophthalmol 1977;;95:48-58.
Packard RBS:  Pattern of mortality in choroidal malignant melanoma . Br J Ophthalmol 1980;;64:565-575.
Jensen OA:  Malignant melanomas of the human uvea: 25-year follow-up of cases in Denmark, 1943-1952 . Acta Ophthalmol 1982;;60:161-182.
Seddon JM, Albert DM, Lavin PT, et al:  A prognostic factor study of disease-free interval and survival following enucleation for uveal melanoma . Arch Ophthalmol 1983;;101:1894-1899.
Gamel JW, McLean IW:  Modern developments in histopathologic assessment of uveal melanomas . Ophthalmology 1984;;91:679-684.
Donoso LA, Berd D, Augsburger JJ, et al:  Metastatic uveal melanoma: Pretherapy serum liver enzyme and liver scan abnormalities . Arch Ophthalmol 1985;;103:796-798.
McLean IW, Foster WD, Zimmerman LE:  Modifications of Callender's classification of uveal melanoma at the Armed Forces Institute of Pathology . Am J Ophthalmol 1983;;96:502-509.
Blalock HM Jr: Social Statistics , ed 2. New York, McGraw-Hill Book Co, 1972;, pp 416-418.
Donoso LA, Shields JA, Augsburger JJ, et al:  Metastatic uveal melanoma: Diffuse hepatic metastasis in a patient with concurrent normal serum liver enzyme levels and liver scan . Arch Ophthalmol 1985;;103:758.
Donoso LA, Folberg R, Naids R, et al:  Metastatic uveal melanoma: Hepatic metastasis identified by hybridoma-secreted monoclonal antibody MAb8-1H . Arch Ophthalmol 1985;;103:799-801.

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McLean IW, Foster WD, Zimmerman LE:  Prognostic factors in small malignant melanomas of choroid and ciliary body . Arch Ophthalmol 1977;;95:48-58.
Packard RBS:  Pattern of mortality in choroidal malignant melanoma . Br J Ophthalmol 1980;;64:565-575.
Jensen OA:  Malignant melanomas of the human uvea: 25-year follow-up of cases in Denmark, 1943-1952 . Acta Ophthalmol 1982;;60:161-182.
Seddon JM, Albert DM, Lavin PT, et al:  A prognostic factor study of disease-free interval and survival following enucleation for uveal melanoma . Arch Ophthalmol 1983;;101:1894-1899.
Gamel JW, McLean IW:  Modern developments in histopathologic assessment of uveal melanomas . Ophthalmology 1984;;91:679-684.
Donoso LA, Berd D, Augsburger JJ, et al:  Metastatic uveal melanoma: Pretherapy serum liver enzyme and liver scan abnormalities . Arch Ophthalmol 1985;;103:796-798.
McLean IW, Foster WD, Zimmerman LE:  Modifications of Callender's classification of uveal melanoma at the Armed Forces Institute of Pathology . Am J Ophthalmol 1983;;96:502-509.
Blalock HM Jr: Social Statistics , ed 2. New York, McGraw-Hill Book Co, 1972;, pp 416-418.
Donoso LA, Shields JA, Augsburger JJ, et al:  Metastatic uveal melanoma: Diffuse hepatic metastasis in a patient with concurrent normal serum liver enzyme levels and liver scan . Arch Ophthalmol 1985;;103:758.
Donoso LA, Folberg R, Naids R, et al:  Metastatic uveal melanoma: Hepatic metastasis identified by hybridoma-secreted monoclonal antibody MAb8-1H . Arch Ophthalmol 1985;;103:799-801.

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