Uveal Melanoma

Cancer Care Alberta

The evidence-based recommendations described below outline the standard follow-up procedures for uveal melanoma surveillance and are intended to assist you in providing optimal cancer follow-up care for your patient; these recommendations are not intended to be a substitute for clinical judgement.

Surveillance Activities & Timelines

Primary Care Providers are asked to please continue systemic monitoring of their patient. As part of the minimum recommended follow-up, the patient requires indefinitely:

  • Class 1 and 2: Annual full physical (including skin examination)
  • Class 1 and 2: Annual CBC/liver function tests, chest x-ray
  • Class 1: Abdomen ultrasounds annually
  • Class 2: Imaging every six months consisting of an annual abdomen ultrasound alternating with annual abdomen MRI

Referrals for Recurrence

Patients should be referred back to their treating oncologist.

Back to Top


Complications & Late Effects of Treatment

The table below outlines some common general complications of cancer treatment:

 

Year Since Treatment Completion

Complication Actions
Fatigue

Fatigue should start to improve within months of treatment completion.

 

Persistent or recurrent fatigue warrants further work-up to rule out other potential causes.

For more information please refer to the Cancer-Related Fatigue Guideline.

Consider a referral to Alberta Cancer Exercise Program.

Psychosocial Distress

Increasing helplessness/hopelessness, distress, anxiety or depression may be present.

Patients experiencing these symptoms should be encouraged to inform their oncology treatment team for appropriate psychosocial referral.

 

Back to Top


Physician Support

Specialist Link (Calgary/Southern Alberta)

ConnectMD (Edmonton/Northern Alberta)

Back to Top


Note: The information on this page was adapted from the AHS Guideline Resource Unit's Uveal Melanoma Guideline, as well as the accompanying Uveal Melanoma Class 1 Cancer Transfer of Care Physician Letter and Uveal Melanoma Class 2 Transfer of Care Physician.