PURPOSE: We analyzed the additional prognostic information from cytopa
thologic data obtained at the time of uveal melanoma irradiation. METH
ODS: Fine needle aspiration biopsies (FNABs) were performed and rerevi
ewed in a masked manner. These data and standard prognostic variables
were correlated with survival and local tumor recurrence using Kaplan
Meier and Cox model statistical techniques. RESULTS: Cytopathologic as
sessment of cell type added to prognostic accuracy. In 116 patients, t
he percentage of epithelioid cells on FNAB and ciliary body involvemen
t were most strongly correlated with melanoma-related mortality. CONCL
USIONS: FNAB data improved our prognostic accuracy in irradiated uveal
melanoma patients.