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Brewer Score for Gestational Trophoblastic Disease

Purpose: To predict the prognosis for a patient with gestational trophoblastic disease (GTD) using the score proposed by Brewer.

Description

The Brewer Score was developed based on multivariate analysis of results from the Gestational Trophoblastic Disease Center at Northwestern University.


Factor

Finding

Points

number of metastases

1-4

1

 

5-8

2

 

> 8

3

metastases

limited to lung or vagina

0

 

site other than lung or vagina

1

previous failed chemotherapy

Yes

1

 

No

0

 

Brewer score =

= (points for number of metastases) + (points for metastatic sites) + (points for previous failed chemotherapy)

 

Interpretation:

• minimum score 0

• maximum score 5

 

Score

Survival

0 or 1

100%

2

88%

3

63%

4

29%

 


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Specialty

Objective

ICD-10