Kim et al reported nomograms for a patient undergoing curative resection of an adrenocortical carcinoma. One nomogram specifies recurrence-free survival. The authors are from multiple institutions in the United States.
Patient selection: status post curative resection of an adrenocortical carcinoma
Parameters:
(1) diameter of the tumor in cm
(2) N (nodal) status
(3) T status
(4) cortisol secreting
(5) capsular invasion
Parameter
Finding
Points
tumor size
< 12 cm
0
>= 12 cm
71.2
N status
N0
0
N1
100
Nx
28
T stage
I or II
0
III or IV
37.3
cortisol secreting
no
0
yes
55.8
capsular invasion
no
0
yes
42
total score =
= SUM(points for all 5 parameters)
Interpretation:
• minimum score: 0
• maximum score: 306.3
• The higher the score the lower the recurrence-free survival.
