CLINICAL CASE
Methods for combination treatment of metastatic uveal melanoma
Rostov State Medical University, Rostov-on-Don, Russia
Correspondence should be addressed: Karina V. Kolomiets
Krasnoarmeiskaya, 198, Novocherkassk, 346400, Russia; ur.liam@99_steimolok_anirak
Author contribution: Kolomiets KV — manuscript writing, editing; Ponomareva ES, Posypina YaR — manuscript writing, literature review, data analysis; Mihailov II, Mandzhiev CB — manuscript writing, literature review, data acquisition; Bulgakov SM, Repunova VI — manuscript writing, literature review, concept and design; Povetkina EV, Tuguz RR — manuscript writing, literature review, manuscript revision.
Compliance with ethical standards: the patient submitted the informed consent to publication of the anonymized personal medical data.
Uveal melanoma (UM) is a rare primary malignant tumor originating from uveal melanocytes (choroid (90%), ciliary body (6%), iris (4%)) of the eye. According to the aggregate data, the tumor incidence is 5.2 cases per 1 million population. In Russia this value varies between 6.23–8 cases per 1 million adult population across the regions. UM most often spreads to the liver (89–93%). The clinical case of using transarterial chemoembolization (carboplatin) in combination with immunotherapy (nivolumab + ipilimumab) in patients with metastatic liver disease from UM is provided. The disease control within 12 months has been achieved, which, in turn, demonstrates the possibility and efficacy of multidisciplinary approach.
Keywords: immunotherapy, transarterial chemoembolization, uveal melanoma, carboplatin, metastatic liver disease