Description

Wang et al reported nomograms for predicting outcomes for patients with cancer of the buccal mucosa. These can help to identify a patient who may require more aggressive management. The authors are from Tianjin Medical University, Guangzhou Medical University, and Sun Yat-sen University in China.


Patient selection: cancer of the buccal mucosa

 

Parameters:

(1) age at diagnosis

(2) histological grade

(3) histological type

(4) SEER stage

(5) tumor diameter in mm

(6) surgery

 

Parameter

Finding

Points

age at diagnosis

<= 70 years

0

 

> 70 years

3.9

histologic grade

low

0

 

high

2.3

histological type

squamous cell carcinoma

7.5

 

other

0

SEER

localized

0

 

regional

6.5

 

distant

10

diameter

<= 40 mm

0

 

> 40 mm

3.4

surgery

no

5

 

yes

0

 

total score =

= SUM(points for all of the parameters)

 

Interpretation:

• minimum score: 0

• maximum score: 32.1

 

value of X =

= (-0.00526 * ((score)^2)) - (0.08364 * (score)) + 2.627

 

probability of 5-year cancer specific survival =

= 1 / (1 + EXP((-1) * X))

 

Performance:

• The area under the ROC curve is 0.80.


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