Radiotherapy Of Intraocular And Orbital Tumors


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Radiotherapy of Intraocular and Orbital Tumors


Radiotherapy of Intraocular and Orbital Tumors

Author: Robert H. Sagerman

language: en

Publisher: Springer Science & Business Media

Release Date: 2003


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This second edition of Radiotherapy of Intraocular and Orbital Tumors provides up-to-date information on the diagnosis and treatment of cancers of the eye and orbit. Important chapters from the first edition have been revised and thus provide, for example, the most recent data with respect to retinoblastoma, rhabdomyosarcoma, and melanoma. In addition, there are a number of chapters by new contributors, so that this edition has a more broadly based, international character. The volume outlines the presenting signs and symptoms of the various tumors and analyzes the indications for ultrasonography, computed tomography, and magnetic resonance imaging studies. It describes in detail treatment techniques and their results with respect to survival and local tumor control, paying special attention to multimodality therapy. Particle beam irradiation and plaque therapy are reviewed, and chemotherapy and heat treatment are also discussed. Potential complications of radiotherapy are described, and relevant information is provided on the conservative and surgical management of radiation effects. The book emphasizes the need for a holistic approach to the patient that recognizes the wider role of irradiation of the eye now that more careful treatment planning is possible. This revised edition will be a valuable asset to all ophthalmologists, radiation oncologists, pediatricians, endocrinologists, oncologists, and residents in training, as well as to students in these disciplines.

Radiotherapy of Intraocular and Orbital Tumors


Radiotherapy of Intraocular and Orbital Tumors

Author: R.H. Sagerman

language: en

Publisher: Springer Science & Business Media

Release Date: 2012-12-06


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Since the publication of the first edition of Radiotherapy of Intraocular and Orbital Tumors in 1993 the treatment programs for cure have changed from the dominance of surgical resection to the utilization of radiation therapy with preservation of the eye intact and preservation of vision. In 2002 about 2,300 primary eye tumors will be diagnosed in the United states, 75% of which will be choroidal melanomas, 20% retinoblastomas, and the remainder a wide variety of tumors - malignant lymphoma, rhabdomyosarcomas, liposarcomas, meningiomas, malignant fibrous histiocytomas, etc. Even so, the majority of malignant tumors of the eye are metastatic, primarily from cancers of the lung or breast. The impact of newer imaging studies, including computed tomography, magnetic resonance imaging, and ultrasound with and without contrast medium, have allowed for better tumor definition, more precise treatment techniques, and major improvement in local control, with preservation of the eye intact and excellent survival. The better histologic definition of the tumor has selected more appropriately the cases suitable for adjuvant chemotherapy particularly demonstrated by the combined integrated multimodal treatment of rhabdomyosarcoma without enucleation. Surgical techniques are now being reserved for biopsy and for treatment failures, a dramatic change in treatment approaches since 1993. The second edition by Sagerman and Alberti clearly demonstrates this major change in treatment. The volume explores the impact of diagnostic workup, the role of surgery, the role of external beam radiation therapy, the use of radioactive plaques, photocoagulation, cryotherapy, and other less major surgical procedures.

Radiotherapy of Intraocular and Orbital Tumors


Radiotherapy of Intraocular and Orbital Tumors

Author: Winfried E. Alberti

language: en

Publisher: Springer Science & Business Media

Release Date: 2012-12-06


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Radiotherapy of Intraocular and Orbital Tumors presents a new approach to the role of radiation therapy in the management of ophthalmic cancer. The indications for ultrasonography, computed tomography, and magnetic resonance imaging studies are analyzed, and treatment techniques, together with their results, are described for each tumor. Particle beam and plaque irradiation are reviewed, and conservative and surgical management of radiation effects are detailed. In the past, most books on this subject included a chapter on radiotherapy but emphasized the dangers of radiation complications. However, great progress in understanding the effects of irradiation upon the tissues of the eye and orbit, new therapeutic equipment, and new imaging techniques (CT, MRI) allow for careful treatment planning. This book has taken the long overdue step of reconsidering the role of irradiation of the eye so that it may take its place as a respected, rather than feared, treatment in the combined modality approach so important today. Together with experts in relevant fields, the editors have produced a refreshingly clear and thoroughly referenced volume which will be a valuable asset to all ophthalmologists, radiation oncologists, pediatricians, endocrinologists, oncologists, and residents in training, as well as to students in these disciplines.