1998
DOI: 10.1016/s0002-9394(98)00038-5
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The Collaborative Ocular Melanoma Study (COMS) randomized trial of pre-enucleation radiation of large choroidal melanoma I: characteristics of patients enrolled and not enrolled COMS report no. 9

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Cited by 87 publications
(9 citation statements)
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“…In 1964, 19% of the enucleations due to uveal melanoma that were sent to the Institute of Pathology of the Armed Forces corresponded to a misdiagnosis. In 1984 it decreased to 1.4%, in 1990 it was 0.4% and in 1998 it was reported to be only 0.3% [4].…”
Section: Discussionmentioning
confidence: 90%
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“…In 1964, 19% of the enucleations due to uveal melanoma that were sent to the Institute of Pathology of the Armed Forces corresponded to a misdiagnosis. In 1984 it decreased to 1.4%, in 1990 it was 0.4% and in 1998 it was reported to be only 0.3% [4].…”
Section: Discussionmentioning
confidence: 90%
“…The improvement in accuracy is due to increased use of ophthalmoscopy, better recognition of lesions that simulate melanomas, and the development of the ocular ultrasound [4].…”
Section: Discussionmentioning
confidence: 99%
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“…Primary UM (pUM) originates predominantly in the capillary-rich uveal tract (i.e., the iris, ciliary body, and choroid), which facilitates metastasis through hematogenous dissemination of the tumor cells. UM metastases usually target the liver, but multiple metastases in other organs (e.g., lung and bone) also occur [ 5 ], with micrometastases capable of lying dormant and undetected for decades [ 6 ]. While immunotherapy has been beneficial for treating metastatic skin melanoma, it is well known that uveal and cutaneous melanomas differ in many ways [ 7 , 8 ], and no treatments currently exist to effectively treat metastatic UM [ 9 ].…”
Section: Introductionmentioning
confidence: 99%