PMID- 17934749 OWN - NLM STAT- MEDLINE DCOM- 20080701 LR - 20211020 IS - 0721-832X (Print) IS - 0721-832X (Linking) VI - 246 IP - 4 DP - 2008 Apr TI - In vivo monosomy 3 detection of posterior uveal melanoma: 3-year follow-up. PG - 609-14 AB - BACKGROUND: Monosomy 3 is a highly specific marker for poor prognosis in posterior uveal melanoma. Unfortunately, cytogenetic prognostication is limited to enucleated eyes or resected tumors. The aim of this study was to evaluate mid-term natural history and safety of in vivo detection of chromosome 3 status in posterior uveal melanomas undergoing plaque brachytherapy. METHODS: A 25-gauge transscleral fine needle aspiration biopsy (FNAB) was performed in 32 eyes affected by posterior uveal melanoma undergoing plaque brachytherapy, just before applying the radioactive plaque. Sampled material underwent fluorescence in situ hybridization (FISH) with centromeric probes for chromosome 3. All patients had a follow-up of at least 36 months. RESULTS: Mean follow-up was 47.1 +/- 8.5 months. Mean largest basal diameter and mean thickness of the tumors were 12.5 +/- 2.7 mm and 8 +/- 2.3 mm respectively. FNAB yielded sufficient material in 26 of 32 cases (81.2%). Adequacy of the sample ranged from 91.1% (ciliary body tumors) to 76.8% (choroidal tumors). Seventeen cases had monosomy 3 (65.3%). No correlation was found between monosomy 3 and tumor dimensions or location (ciliary body vs choroidal tumors). No early and mid-term local complications were documented. Seven patients (21.8%) died during follow-up: five (15.6%) of them died due to metastatic disease (all had monosomy 3 tumors). CONCLUSIONS: Posterior uveal melanomas may be adequately and safely sampled, by intra-operative transscleral FNAB, to detect in vivo monosomy 3. FAU - Midena, Edoardo AU - Midena E AD - Department of Ophthalmology, University of Padova, Via Giustiniani 2, 35128 Padova, Italy. edoardo.midena@unipd.it FAU - Bonaldi, Laura AU - Bonaldi L FAU - Parrozzani, Raffaele AU - Parrozzani R FAU - Radin, Pietro P AU - Radin PP FAU - Boccassini, Barbara AU - Boccassini B FAU - Vujosevic, Stela AU - Vujosevic S LA - eng PT - Journal Article DEP - 20071013 PL - Germany TA - Graefes Arch Clin Exp Ophthalmol JT - Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie JID - 8205248 SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Biopsy, Needle MH - Brachytherapy MH - Chromosomes, Human, Pair 3/*genetics MH - Female MH - Follow-Up Studies MH - Humans MH - In Situ Hybridization, Fluorescence MH - Male MH - Melanoma/*genetics/pathology/radiotherapy MH - Middle Aged MH - Monosomy/*genetics MH - Prognosis MH - Uveal Neoplasms/*genetics/pathology/radiotherapy EDAT- 2007/10/16 09:00 MHDA- 2008/07/02 09:00 CRDT- 2007/10/16 09:00 PHST- 2007/07/18 00:00 [received] PHST- 2007/09/12 00:00 [accepted] PHST- 2007/09/11 00:00 [revised] PHST- 2007/10/16 09:00 [pubmed] PHST- 2008/07/02 09:00 [medline] PHST- 2007/10/16 09:00 [entrez] AID - 10.1007/s00417-007-0692-4 [doi] PST - ppublish SO - Graefes Arch Clin Exp Ophthalmol. 2008 Apr;246(4):609-14. doi: 10.1007/s00417-007-0692-4. Epub 2007 Oct 13.