By Bertil Damato, Arun D. Singh
Written by means of the world over popular specialists, medical Ophthalmic Oncology offers sensible counsel and suggestion at the prognosis and administration of the full variety of ocular cancers. The booklet offers all the state of the art wisdom required so as to establish those cancers early and to regard them as successfully as attainable. utilizing the knowledge supplied, readers can be capable of supply powerful sufferer care utilizing the most recent wisdom on all features of ophthalmic oncology, to make sure diagnostic conclusions in keeping with comparability with quite a few full-color medical images, and to find required info quick because of the clinically concentrated and straightforward structure. This quantity, dedicated completely to uveal tumors, explains a number of the diagnostic and biopsy ideas which may be used and describes the healing thoughts of capability price for various forms of tumor.
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Extra info for Clinical Ophthalmic Oncology: Uveal Tumors
42. Singh AD, Pelayes D, Zarate JO, Biscotti CV. FNAB of uveal melanoma with a graded prototype needle. ARVO Meet Abstr. 2011;52(6):3270. 43. Akgul H, Otterbach F, Bornfeld N, Jurklies B. Intraocular biopsy using special forceps: a new instrument and refined surgical technique. Br J Ophthalmol. 2011;95(1):79–82. 44. Grossniklaus HE. Fine-needle aspiration biopsy of the iris. Arch Ophthalmol. 1992;110(7):969–76. 45. Matthews BJ, Mudhar HS, Rennie IG. Trans-corneal fine cannula aspiration: Rycroft cannula aspiration technique for sampling iris tumours.
Excision biopsy of small ciliary body tumors may be preferred to radiotherapy when aspirational or incisional biopsy is unlikely to produce enough tissue for histologic and genetic studies (Fig. 3) [6–8]. 2 Surgical Technique The surgical techniques are as described in Chap. 17. 3 Results and Complications Compared to other biopsy techniques, excision biopsy yields the largest possible tumor sample. The complications of this technique are the same as those of local resection. In the author’s experience, orbital recurrence is extremely rare.
Regardless of the differential diagnosis, cytologists must interpret the cellular features within the clinical context. This emphasizes the importance of good communication between cytologists and ophthalmologists. We have found a stepwise diagnostic approach for uveal melanoma very useful . Cytologists should first look for cytoplasmic melanin pigment (Fig. 7a) . Melanin has a finely granular cytoplasmic distribution that can be focal and inconspicuous. The spindle-type melanoma cell (Fig.
Clinical Ophthalmic Oncology: Uveal Tumors by Bertil Damato, Arun D. Singh