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In patients with choroidal melanoma tumor size and location are the best predictors of mortality. What are the complications of choroidal melanoma treatments. Systematic Review Of Liver Directed Therapy For Uveal Melanoma Hepatic Metastases Hpb The eye removal procedure is known as enucleation. Choroidal melanoma treatment guidelines . Large tumors warrant enucleation. Plaque radiation or external-beam radiation transpupillary thermotherapy TTT local resection or enucleation. Recurrences are mostly at distant metastatic sitesspecifically the liverrather than the skin or lymph nodes. Other options include liver-directed therapies because recurrence in uveal melanoma typically occurs in the livesystemic therapy or radiotherapy for symptomatic disease or palliative care. The selected management depends on factors like tumor size location and activity as well as the status of the opposite eye and the age general health and psychological status of the. This was a medium-sized t