Ficarra et al reported the PADUA score for evaluating a patient with a renal tumor who is a candidate for partial nephrectomy. This can help to identify a patient at greater risk for complications. The authors are from University of Padua.
PADUA = Preoperative Aspects and Dimensions Used for an Anatomical
Patient selection: renal tumor, candidate for partial nephrectomy
Parameters:
(1) longitudinal location
(2) exophytic rate
(3) renal rim
(4) renal sinus
(5) urinary collecting system
(6) tumor size in cm
Parameter
Finding
Points
longitudinal location
superior or inferior
1
middle
2
exophytic rate
>= 50%
1
> 0 and < 50%
2
0% (endophytic)
3
renal rim
lateral
1
medial
2
renal sinus involvement
no
1
yes
2
urinary collecting system involvement
no
1
yes
2
diameter of tumor
<= 4.0 cm
1
4.1 to 7 cm
2
> 7 cm
3
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 6
• maximum score: 14
Score
HR Complications
6 or 7
1
8 or 9
14.5
>= 10
30.6
The tumor can also be designated as anterior or posterior facing, with the suffix "a" or "p".
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