While standard chemotherapy for metastatic choroidal melanoma may offer prolonged survival, very few patients have been cured.
Choroidal melanoma tends to metastasize to the liver.
This is why your doctor is likely to order liver function studies every 6 months. For a specific patient, the choice of therapy largely depends on the presence or absence of metastases outside of the liver, the extent of disease within the liver, and its interference in liver function. Liver is the predominant site of metastases in a majority of choroidal melanoma patients. For most patients with liver metastases, involvement is diffuse or multi-focal and surgery cannot help. For the few patients who have a slow growing solitary liver metastasis, surgical excision may help.