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直到最近,处理眼黑色素瘤的标准方法是眼球摘出术,对有大肿瘤或疼痛或眼已失明的病人仍如此。然而对有有用视力的眼内黑色素瘤的治疗在某些范围内仍有争论。理想的疗法是局部破坏肿瘤而不引起转移,并且无局部副作用。为此目的,曾有两种疗法,破坏性技术如光凝和放射性技术如放射性敷贴器或外光束放射。不过,这两种方法都有一些缺点。光凝的主要缺点为其应用仅限于高度低于4mm的肿瘤。应用放射性敷贴器,特别是钴60敷贴器,仅部分满意。基底大于15mm,高度超出12mm的大肿瘤用敷贴器治疗而不对正常眼结构有相当的破坏是完全不可能
Until recently, the standard method of treating ocular melanoma was eyeball enucleation, which was still true for patients with large tumors or pain or blindness. However, treatment of intraocular melanomas with useful vision remains controversial in some areas. The ideal therapy is to locally destroy the tumor without causing metastasis and without local side effects. For this purpose, there have been two treatments, destructive techniques such as photocoagulation and radiological techniques such as radioactive applicators or external beam radiation. However, both methods have some disadvantages. The main drawback of photocoagulation is its application limited to tumors less than 4 mm in height. The use of a radioactive applicator, in particular a Cobalt 60 applicator, is only partially satisfactory. It is completely impossible to treat a large tumor with a base greater than 15mm and a height exceeding 12mm with a patch without normal damage to the normal eye structure