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Updated: May 8, 2026

Isolated Hepatic Perfusion as a Treatment for Liver Metastases of Uveal Melanoma
Published on: January 25, 2015
Current and emerging treatment options for uveal melanoma
Patricia Rusa Pereira1, Alexandre Nakao Odashiro, Li-Anne Lim
1The Henry C Witelson Ocular Pathology Laboratory, McGill University, Montreal, QC, Canada.
Abstract:
Uveal melanoma (UM) is the most common primary malignant intraocular tumor in adults, with a 10-year cumulative metastatic rate of 34%. The most common site of metastasis is the liver (95%). Unfortunately, the current treatment of metastatic UM is limited by the lack of effective systemic therapy. Options for the management of the primary intraocular tumor include radical surgery as well as conservative treatments in order to preserve visual acuity. For metastatic disease, several approaches have been described with no standard method. Nevertheless, median survival after liver metastasis is poor, being around 4-6 months, with a 1-year survival of 10%-15%. In this review, the authors summarize current and promising new treatments for UM.
Insights
Uveal melanoma (UM), a common eye cancer, frequently metastasizes to the liver. This review discusses current and emerging treatments for metastatic UM, addressing the urgent need for effective systemic therapies.
Area of Science:
- Ophthalmology
- Oncology
- Medical Research
Background:
- Uveal melanoma (UM) is the most common primary intraocular malignancy in adults.
- UM has a significant 10-year cumulative metastatic rate of 34%, predominantly to the liver (95%).
- Metastatic UM has limited effective systemic treatment options and a poor prognosis.
Purpose of the Study:
- To review current therapeutic strategies for uveal melanoma.
- To summarize promising novel treatments for metastatic uveal melanoma.
- To highlight the challenges in managing advanced-stage uveal melanoma.
Main Methods:
- Literature review of current and emerging treatments for uveal melanoma.
- Analysis of treatment outcomes and survival data for metastatic UM.
- Synthesis of information on management of primary and metastatic disease.
Main Results:
- Current treatments for primary UM include surgery and conservative methods.
- Management of metastatic UM lacks a standard approach.
- Median survival after liver metastasis is poor (4-6 months), with low 1-year survival rates (10%-15%).
Conclusions:
- There is a critical need for effective systemic therapies for metastatic uveal melanoma.
- Ongoing research focuses on developing novel treatment modalities.
- Improved treatment strategies are essential to enhance survival for patients with advanced UM.
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