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Eye cancer and risk of metastasis

Researchers have pioneered the first technique to biopsy tissue from the living eye in order to predict what tumors possess a high chance of spreading to other parts of the body.

If the eye cancer metastasizes the patient will usually not survive the disease. Ocular melanoma attacks the pigment cells in the retina. Earlier studies discovered that patients who are missing one copy of chromosome 3 in their tumor tissue are more likely to have highly aggressive cancers.

This new procedure could offer huge medical and psychological benefits to the patients. Dr. Tara Young, assistant professor of ophthalmology at UCLA's Jules Stein Eye Institute and a Jonsson Comprehensive Cancer Center researcher, said "Identifying patients at high risk for metastasis is an important first step toward reducing the death rate of this cancer, which kills nearly half of its patients."

The technique of fine needle aspiration for collecting cancer cells from the living eye has been the standard of care at the Jules Stein Eye Institute since 2004, but adopted by only a handful of other ophthalmic centers in the nation.

Ocular melanoma is the most common eye cancer to strike adults. Some 2,000 cases are newly diagnosed every year in the United States and Canada.

Patients want to know about their prognosis. The patients that have a low chance of metastasis can breathe a sigh of relief and the high risk group can plan arrangements for their family and finances. The high risk group might also want to have more aggressive treatment and join a clinical trial to find better treatments to treat metastatic eye cancer.

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