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Gamma knife vs Proton therapy vs Plaque

Forums Ocular Melanoma Community Gamma knife vs Proton therapy vs Plaque

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      Hi guys,
      I would appreciate any advice which would help me decide which of these 3 options is the best for the treatment of a Ocular melanoma on the Choroid. Personal experience would be very valuable.

      Both have their advantages/disadvantages, but since a lot of sources are biased towards one or the other, it is very difficult to find an objective comparison for this specific application.

      My main concerns are
      1. which one will do less damage to the surrounding tissue (taking into consideration precision, strength of the radiation and imaging techniques during the procedure.)

      2. I heard that people feel a bit tired/ mentally unwell after Gamma knife… is this true from your experience?

      3. With Plaque and Proton therapy there is a surgery needed before the treatment… do you think that this increases the risk of cancer cells getting into the blood and causing metastases?

      4. If you move your eye during proton therapy, is it catastrophic?

      5. Plaque seems like the cheapest procedure for insurance companies… is that basically the only advantage? 🙂

      Regarding my specific case: I have a choroidal OM with the size of 30mm×6mm. No known metastases

      Thank you again very much for any advice

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