Nomogram of Tol et al for Evaluating a Patient with a Pancreatic or Periampullary Cancer

Description

Tol et al reported a nomogram for a patient with pancreatic or periampullary cancer. These can help to identify a patient who may benefit from more aggressive management. The authors are from Academic Medical Centre Amsterdam in The Netherlands.

Patient selection: pancreatic or periampullary cancer

Parameters:

(1) adjuvant treatment

(2) resection margin R0 or R1 (tumor within 1 mm of margin)

(3) tumor differentiation

(4) lymph node ratio

lymph node ratio =

= (number of lymph nodes with metastases) / (total number of lymph nodes examined)

Parameters	Findings	Points
adjuvant treatment	no	45
	yes	0
resection margin	R0	0
	R1	45
tumor differentiation	well-differentiated	0
	moderately differentiated	20
	poorly differentiated	100
lymph node ratio	0	0
	0.001 to 0.18	10
	> 0.18	60

total score =

= SUM(points for all of the parameters)

Interpretation:

• minimum score: 0

• maximum score: 250

• The higher the score the worse the survival.

percent survival at 3 years =

= (0.000004916 * ((score)^3)) - (0.0013036 * ((score)^2)) - (0.24538 * (score)) + 67.068

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Nomogram of Tol et al for Evaluating a Patient with a Pancreatic or Periampullary Cancer

Description

Specialty