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Clinical Spectrum of Uveal Metastasis in Korean Patients Based on Primary Tumor Origin

Authors
 Hyun Goo Kang  ;  Minha Kim  ;  Suk Ho Byeon  ;  Sung Soo Kim  ;  Hyoung Jun Koh  ;  Sung Chul Lee  ;  Min Kim 
Citation
 OPHTHALMOLOGY RETINA, Vol.5(6) : 543-552, 2021-06 
Journal Title
OPHTHALMOLOGY RETINA
ISSN
 2468-7219 
Issue Date
2021-06
Keywords
Choroidal tumor ; Intraocular tumor ; Primary tumor origin ; Survival ; Uveal metastasis
Abstract
Purpose: To describe the clinical features and prognosis of patients with uveal metastasis in Korea.

Design: Retrospective, observational case series.

Participants: Patients diagnosed at 2 tertiary high-volume centers between November 2005 and November 2019.

Methods: Evaluation of multimodal imaging and electronic medical records.

Main outcome measures: The clinical features and outcomes were assessed based on the primary cancer site.

Results: A total of 134 uveal metastases (128 choroidal, 3 iris, and 3 ciliary body tumors) were diagnosed in 95 eyes of 80 patients. Mean age at diagnosis was 56 years (median, 55 years; range, 24-86 years), with a minor preponderance of women (61%). Tumors were bilateral in 15 patients (19%) and the primary origin was established in 49 patients (61%) before ocular detection. The primary tumor originated in the lung (48%), breast (24%), gastrointestinal tract (10%), liver (3%), pancreas (3%), kidney (1%), cervix (1%), and nasopharynx (1%), with some remaining unknown (10%). The overall 5-year survival rate was 21%. Kaplan-Meier analysis revealed that the worst survival was found in pancreatic cancers (mean survival, 5.9 months; P = 0.045), and the best survival was found in gastrointestinal tract cancers (mean survival, 44.5 months).

Conclusions: The primary tumor origins in Korean patients with uveal metastases differed from those reported in primarily population-based studies of White patients, with a higher prevalence of lung and gastrointestinal tract cancers.
Full Text
https://www.sciencedirect.com/science/article/pii/S2468653020303717
DOI
10.1016/j.oret.2020.09.007
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Ophthalmology (안과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Hyun Goo(강현구) ORCID logo https://orcid.org/0000-0001-8359-9618
Koh, Hyoung Jun(고형준) ORCID logo https://orcid.org/0000-0002-5932-8516
Kim, Min(김민) ORCID logo https://orcid.org/0000-0003-1873-6959
Kim, Sung Soo(김성수) ORCID logo https://orcid.org/0000-0002-0574-7993
Byeon, Suk Ho(변석호) ORCID logo https://orcid.org/0000-0001-8101-0830
Lee, Sung Chul(이성철) ORCID logo https://orcid.org/0000-0001-9438-2385
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/185413
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