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Prognostic Model of Lise et al for a Patient Having Resection of Hepatic Metastases from a Colorectal Carcinoma

Description

Lise et al reported a prognostic model for a patient undergoing resection of hepatic metastaases from a colorectal carcinoma. This can help to identify a patient who may benefit from more aggressive management or a new technique. The authors are from University of Padova in Italy.


Patient selection: resection of hepatic metastases from a colorectal carcinoma

 

Parameters:

(1) percent of liver involved by metastases

(2) metastases to colonic lymph nodes with primary carcinoma

(3) number of metastases

(4) preoperative serum SGPT

(5) type of liver resection

 

Parameter

Finding

Points

percent of liver involved

< 30%

0

 

>= 30%

3

lymph node metastases

no

0

 

yes

1

number of metastases

1

0

 

>= 2

1

preoperative serum SGPT

< 55 U/L

0

 

>= 55 U/L

2

type of resection

anatomical

0

 

non-anatomical

1

 

total score =

= SUM(points for all 5 parameters)

 

Interpretation:

• minimum score: 0

• maximum score: 8

 

Total Score

Risk Group

3-Year Disease Free Survival

0 to 2

low (Group A)

80%

3 to 5

intermediate (Group B)

55%

6 to 8

high (Group C)

10%

 


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