Document Detail


Role of topical chemotherapy for primary acquired melanosis and malignant melanoma of the conjunctiva and cornea: review of the evidence and recommendations for treatment.
MedLine Citation:
PMID:  16970772     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Surgical excision with cryotherapy is a well-established treatment option for malignant melanoma or primary acquired melanosis (PAM) with atypia of the conjunctiva and cornea. Topical chemotherapeutic agents such as mitomycin C (MMC) however, are increasingly finding use in clinical practice. A search was performed of Medline and Pubmed databases for English language articles from 1980 to the present in this field. Relevant studies were reviewed with regards to treatment regimen, rates of recurrence and metastasis, side effect profile and length of follow up. A total of 22 and 16 unique cases of biopsy proven PAM with atypia and malignant melanoma, respectively, treated with topical MMC were identified. Topical MMC was well tolerated and shows considerable promise, particularly in the treatment of diffuse PAM with atypia. However, long-term data are lacking and further studies are required.
Authors:
Rajeev Chalasani; Michael Giblin; R Max Conway
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Clinical & experimental ophthalmology     Volume:  34     ISSN:  1442-6404     ISO Abbreviation:  Clin. Experiment. Ophthalmol.     Publication Date:    2006 Sep-Oct
Date Detail:
Created Date:  2006-09-14     Completed Date:  2006-11-14     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  100896531     Medline TA:  Clin Experiment Ophthalmol     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  708-14     Citation Subset:  IM    
Affiliation:
Ocular Oncology Unit, Save Sight Institute, Sydney Eye Hospital, Sydney, New South Wales, Australia.
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MeSH Terms
Descriptor/Qualifier:
Administration, Topical
Antibiotics, Antineoplastic / therapeutic use*
Conjunctival Neoplasms / drug therapy*
Corneal Diseases / drug therapy*
Databases, Factual
Eye Neoplasms / drug therapy*
Humans
Melanoma / drug therapy*
Melanosis / drug therapy*
Mitomycin / therapeutic use*
Practice Guidelines as Topic
Chemical
Reg. No./Substance:
0/Antibiotics, Antineoplastic; 50-07-7/Mitomycin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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