RT Journal
A1 Barr CC, McLean IW, Zimmerman LE
T1 UVeal melanoma in children and adolescents
JF Archives of Ophthalmology
JO Archives of Ophthalmology
YR 1981
FD December 1
VO 99
IS 12
SP 2133
OP 2136
DO 10.1001/archopht.1981.03930021009003
UL http://dx.doi.org/10.1001/archopht.1981.03930021009003
AB • Five-year survival data were available in 78 cases originally classified as uveal melanomas in patients less than 20 years old. Forty-two were malignant melanomas arising from the choroid and/or ciliary body; 13 patients from this group died of metastatic disease. Factors that significantly correlated with fatality were a red, painful eye, extraocular extension at enucleation, basal tumor diameter greater than 10 mm, increased mitotic activity, and tumor necrosis. There were 36 iridic tumors; nine were reclassified as nevi. Of the 27 patients with iridic melanomas, only four died of metastases. The predominant factors relating to fatal outcome were glaucoma, extension of tumor into the ciliary body, diffuse growth, deep angle invasion, scleral invasion by tumor cells, and increased mitotic activity. Except for their relative rarity, uveal melanomas in children and adolescents did not differ significantly from their counterparts in adults.