Treatments of Uveal Melanoma

A special issue of Cancers (ISSN 2072-6694). This special issue belongs to the section "Cancer Therapy".

Deadline for manuscript submissions: 15 October 2025 | Viewed by 543

Special Issue Editor


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Guest Editor
Liverpool University Hospitals NHS Foundation Trust, Liverpool, UK
Interests: uvea melanoma; vitreoretinal surgery; ocular oncology

Special Issue Information

Dear Colleagues,

Uveal melanoma is the most common intraocular malignancy with a significant patient burden in terms of metastatic potential. Eye-preserving treatments with various forms of radiotherapy are well known but often involve vision-affecting sequelae; new treatments are becoming available to not only enable good tumour control but also retain useful long-term vision. In addition, early prophylactic treatment regimens are becoming more common in reducing the incidence and severity of radiation-related ocular sequelae. The advent of small gauge vitrectomy surgery has also increased the awareness and practise of prognostication, which may influence long-term surveillance. Further advances in systemic treatment for metastatic disease may also be utilised in the future for targeting high-risk prognostically identified individuals. All of this forms the basis of more personalised medicine and targeted therapies for this disease with a previously poor outlook.

The aim of this Special Issue is to emphasise the high-quality research being undertaken into this rare but lethal condition. The scope would cover the early identification of small melanomas, the benefits of early treatments, the advances in visually preserving treatments of the primary tumour and the interventions available to preserve vision in treated patients with ocular side effects. In addition, this would include the use both clinically and economically of prognostication, the need for long-term surveillance, and the influence on metastatic disease. Finally, the Special Issue also examines new advances in the treatment of established metastatic disease and the potential for agents to prevent long-term systemic disease.

In this Special Issue, original research articles and reviews are welcome. Research areas may include (but are not limited to) the following:

  1. Early identification of uveal melanoma;
  2. New vision preserving treatments for uveal melanoma;
  3. Treatments for radiation induced ocular sequelae;
  4. Prognostication;
  5. Surveillance;
  6. Treatment of metastatic disease.

I look forward to receiving your contributions.

Dr. Rumana N. Hussain
Guest Editor

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Keywords

  • uveal melanoma
  • radiotherapy
  • radiation retinopathy
  • liver metastases
  • prognostication

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Published Papers (1 paper)

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Research

12 pages, 233 KiB  
Article
Prognostic Biopsy of Choroidal Melanoma Before and After Ruthenium-106 Plaque Brachytherapy: Impact on Success of Cytogenetic Analysis
by Keri McLean, Helen Kalirai, Muhammad H. Amer, Bertil Damato, Sarah E. Coupland, Heinrich Heimann and Rumana N. Hussain
Cancers 2025, 17(12), 2057; https://doi.org/10.3390/cancers17122057 - 19 Jun 2025
Viewed by 278
Abstract
Background/Objectives: To determine if the results of cytogenetic analyses of choroidal melanoma biopsies after ruthenium-106 plaque brachytherapy (RPB) are affected by this procedure. Methods: A retrospective study was conducted on 368 patients with choroidal melanoma treated with RPB who underwent cytogenetic testing [...] Read more.
Background/Objectives: To determine if the results of cytogenetic analyses of choroidal melanoma biopsies after ruthenium-106 plaque brachytherapy (RPB) are affected by this procedure. Methods: A retrospective study was conducted on 368 patients with choroidal melanoma treated with RPB who underwent cytogenetic testing at the Liverpool Ocular Oncology Centre (LOOC) between May 2012 and November 2024. Data on demographics, tumor characteristics, treatment date, biopsy timing (pre- or post-RPB), and cytogenetic results were extracted from the LOOC database. Statistical analysis included descriptive statistics, binary, and multinomial logistic regression to assess associations between biopsy timing and biopsy success rates. Results: Biopsies were performed before RPB in 58.7% (216/368) cases, and post-PBR in 41.3%. Cytomorphological identification and molecular genetic testing were successful in 96.4% and 85.1% cases, respectively. Timing of biopsy, patient demographics, and tumor characteristics did not significantly influence cytogenetic test outcomes. Molecular testing could not be performed on 6.8% (25/368) cases as the DNA was insufficient in these samples. Genetic testing success slightly declined beyond three months post-RPB, though a few cases had delayed biopsy (n = 8). Pre-RPB biopsies more frequently demonstrated monosomy 3, whereas post-RPB biopsies had higher rates of disomy 3 (χ2, p < 0.05). Conclusions: Prognostic biopsies post-RPB provide reliable cytomorphological and molecular genetic results using MLPA or MSA. Test failure is not significantly influenced by biopsy timing, patient or tumor characteristics, biopsy modality, or genetic technique. Insufficient DNA yield remains a key limitation, emphasizing the importance of obtaining adequate tissue samples. Biopsies within three months are preferable to optimize success in molecular testing. Full article
(This article belongs to the Special Issue Treatments of Uveal Melanoma)
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