Rethinking Uveal Melanoma Surveillance
Retrospective study questions whether uveal melanoma liver surveillance period should always be extended after five years
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A study of 1086 uveal melanoma patients suggests that hepatic surveillance may be effective for only five years post-treatment.
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29% of patients developed liver metastases, with 93% detected within the first five years of surveillance.
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Surveillance protocols currently impose significant imaging burdens, particularly with the use of MRI in resource-constrained systems.
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Increasing T stage and tumor location significantly influence metastatic risk, indicating a need for tailored follow-up.
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The study advocates for rethinking surveillance protocols to focus on personalized strategies rather than a one-size-fits-all approach.