Tuesday, February 5, 2008
here is the note I got from Dr. Aaberg:
"Dear Ms. HayesHagar:
I was able to speak to your father today and explain your situation and treatment options. He (as you can imagine) has an excellent grasp of everything. Regarding the extraocular tumors (the "little guys" escaping from the eye [my terminolgy, as you might have guessed...], these are removed "en block" with the eye...in other words, all as one unit. Regarding the one week delay, it is very unlikely to make any difference in your clinical course. In fact, when radiatio therapy is performed (wheter it is brachytherapy or proton beam irradiation), ther is by necessity a 2-4 week delay between diagnosis and treatment. When outcomes were compared betwen patients undergoing enucleation versus radiation therapy in the Collaborative Ocular Melanoma Study, there was no fdifference in ultimate outcomes. Consequently, we must conclude that a few week delay is inconsequential.
Hope this helps-