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Prognostic Score of Perri et al for a Woman with Metastatic Gynecologic Cancer and Malignant Bowel Obstruction

Description

Perri et al developed a score for evaluating a woman with recurrent gynecologic cancer and malignant bowel obstruction. This can help to identify a patient who may benefit from palliative surgery. The authors are from Sheva Medical Center and Tel Aviv University in Israel.


Patient selection: women with gynecologic cancer (ovarian, cervical, uterine, primary peritoneal)

 

Outcome: 30 and 60 day mortality

 

Parameters:

(1) serum albumin in g/dL

(2) volume of ascites in liters

(3) age in years

(4) site of primary tumor

 

Parameter

Finding

Points

serum albumin

>= 2.5 g/dL

0

 

< 2.5

2

volume of ascites

<= 2 liters

0

 

> 2 liters

1

age in years

<= 60 years

0

 

> 60 years

1

site of primary tumor

ovary

0

 

other

1

 

total score =

= SUM(points for all 4 parameters)

 

Interpretation:

• minimum score: 0

• maximum score: 5

• The higher the score the worse the prognosis.

 

Score

30-day mortality after surgery

60-day mortality after surgery

0 or 1

3%

5%

2

20%

40%

3 or 5

40%

73%

 


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