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Preoperative Prognostic Score of Malik et al for a Patient Undergoing Resection of Colorectal Liver Metastases

Description

Malik et al developed a simple score for evaluating a patient undergoing surgery to resect liver metastases from a colonic adenocarcinoma. These can help to identify a patient who may benefit from more aggressive management. The authors are from St. James’s University Hospital in Leeds, Engalnd.


 

Patient selection: colorectal adenocarcinoma with liver metastases

 

Parameters:

(1) number of liver metastases

(2) inflammatory response to tumor (IRT)

 

Inflammatory response to tumor defined as one or both of the following:

(1) C-reactive protein > 10 mg/L.

(2) neutrophil to lymphocyte ratio > 5

 

Parameter

Finding

Points

number of metatases

< 8

0

 

>= 8

1

evidence of IRT

no

0

 

yes

1

 

total score =

= SUM(points for both parameters)

 

Interpretation:

• minimum score: 0

• maximum score: 2

 

Score

5-Year Survival

0

49%

1

34%

2

0%

 


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Specialty

ICD-10