Kutikov et al developed several nomograms for evaluating a patient with a localized renal cell carcinoma. These can help to identify a patient who may benefit from more aggressive management. The authors are from Fox Chase Cancer Center and Temple University in Philadelphia.
Patient selection: localized renal cell carcinoma with age >= 30 years
Parameters:
(1) race of the patient
(2) gender of the patient
(3) diameter of the tumor in cm
(4) age of the patient in years
|
Parameter |
Finding |
Points |
|
race of the patient |
black |
18 |
|
|
white |
1.4 |
|
|
other |
0 |
|
gender of the patient |
female |
0 |
|
|
male |
5.3 |
|
Diameter of the Tumor |
Points |
|
0 to 20 cm |
(-0.02 * ((diameter)^2)) - (0.82 * (diameter)) + 24.20 |
|
> 20 cm |
0 |
|
Age of the Patient |
Points |
|
30 to 95 years |
(0.00874 * ((age)^2)) + (0.447 * (age)) - 20.53 |
|
> 95 years |
100 |
total score =
= SUM(points for all 4 parameters)
Interpretation:
• minimum score: 0
• maximum score: 147
• The higher the score the greater the risk of dying from a non-cancer cause.
|
Total Score |
Probability of Death from a Non-Cancer Cause |
|
0 to 20 |
<= 1% |
|
21 to 39 |
1 to 2% |
|
40 to 90 |
(0.00339 * ((points)^2)) - (0.2039 * (points)) + 4.764 |
|
90 to 130 |
(0.01071 * ((points)^2)) - (1.487 * (points)) + 61.20 |
|
> 130 |
> 49% |
Specialty: Hematology Oncology, Surgery, general, Nephrology
ICD-10: ,
