[The staging of malignant uveal melanoma]

There have been investigated 30 malignant uveal melanomas hospitalized in the Ophthalmologic Clinic of Craiova during the last 15 years. The disease has developed more frequently among the female sex in a 3/2 proportion, the maximum age ranging between, 40 and 70 years old. As to the localization, 2 were at the level of the iris, 7 at the level of ciliary body and 21 at the choroid level. In anterior localizations tumour extirpation was possible in the 2 cases through iridectomy and in only one case through cyclectomy. Anatomicopathologically, most cases presented mixed-type cells where prevailed the type B fusiform cells and epithelioid cells with big quantitative variations from one zone to another. The tumours detected in an incipient stage benefited from laser photocoagulation or application of CO60 and I125 radioactive disks. In advanced stages enucleation was practised preceded by 2 treatments of radiotherapy for the devitalization of tumorous cells and prevention of metastases.