31 Uveal Melanoma

Uveal Melanoma

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THE GEC ESTROHANDBOOKOF BRACHYTHERAPY | Part II Clinical Practice Version 1 - 15/04/2020

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Fig. 7: The conjunctiva is opened at the limbus and the rectus muscles are isolated for traction with silk sutures to expose the quadrant.

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Fig. 11a, 11b and 11c: Template replaced with radioactive plaque

Fig. 8a and 8b: localization of tumour margins by transillumination

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Fig. 12: Intraoperative US plaque position check / A poorly-positioned plaque - B well-positioned plaque

Fig. 9a and 9b: Outlined tumour borders plus 2-3 mm free margin

Well positioned plaque

Poorly positioned plaque

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Fig. 13a: Follow-up images – based on the relationship between the tumour bed area and the actinic regression zone after treatment, it is possible to evaluate the right plaque position during the follow-up

Fig. 10a and 10b: Dummy plaque is used to position the sutures