A randomized study of methanol-extraction residue of bacille Calmette-Guerin as postsurgical adjuvant therapy of uveal melanoma

Am J Ophthalmol. 1990 Nov 15;110(5):522-6. doi: 10.1016/s0002-9394(14)77876-6.


A randomized controlled clinical trial of methanol-extracted residue of bacille Calmette-Guerin adjuvant treatment of posterior uveal melanoma was undertaken. Of 113 patients, 34 patients received adjuvant immunotherapy and 79 patients received no treatment. No difference in survival was observed between the adjuvant-treated group and the control group of patients. This study found that the size of the tumor was a highly significant risk factor for death caused by metastasis of uveal melanomas. The standard deviation of the nucleolar area of the neoplastic cells was a significant risk factor, even though patients with tumors composed of Callender's spindle-type cells were not included in the study.

Publication types

  • Clinical Trial
  • Comparative Study
  • Randomized Controlled Trial
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adjuvants, Immunologic / therapeutic use*
  • Aged
  • BCG Vaccine / therapeutic use*
  • Female
  • Humans
  • Male
  • Melanoma / mortality
  • Melanoma / secondary
  • Melanoma / surgery
  • Melanoma / therapy*
  • Middle Aged
  • Postoperative Care
  • Prognosis
  • Proportional Hazards Models
  • Risk Factors
  • Survival Analysis
  • Uveal Neoplasms / mortality
  • Uveal Neoplasms / surgery
  • Uveal Neoplasms / therapy*


  • Adjuvants, Immunologic
  • BCG Vaccine