![]() ![]() “We cannot and we should not treat all choroidal nevi, but there has been a trend toward earlier treatment in recent years based on the risk factors that have been identified and used in most centers,” he said.ĭisclosure: Shields has no relevant financial disclosures. “Before you jump to conclusions, there are even stronger arguments against treating all choroidal nevi,” he said.Ĭhoroidal nevi occur in 5% of the population, but melanoma is uncommon many treatments would be unnecessary, most nevi have an excellent prognosis and stay with the patient for a lifetime, growth and metastasis are rare, and treatment causes visual loss, according to Shields. “Melanomas less than 0.7 mm in thickness have a 100% 10-year survival if treated at that time.”įor posterior uveal melanoma, the prognosis remains poor, even though diagnosis can be made sooner with newer detection modalities and the availability of excellent local treatments, according to Shields.Įven so, he did not recommend prophylactic treatment of all choroidal nevi. “It has been shown that thickness is the most important prognostic factor,” he said. Shields cited cutaneous melanoma, a “cousin” of uveal melanoma, as another example. ![]() For example, precancerous polyps are removed as a measure to prevent colon cancer, he said. AhnQiraj War Effort Gathering Guide Dungeon Sets 1 and 2 Quests - WoW Classic Enchanting Guide Farming Horde War Effort Supplies Herbalism Guide Tailoring Guide in WoW Classic WoW Classic Endgame Herbalism Farming Routes 150-300 ZulGurub - Professions and Farming. ![]()
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