del Arco et al reported prognostic scores for a patient with resected gastric cancer. These can help to identify a patient who may benefit from more aggressive management. The authors are from multiple institutions in Spain.
Patient selection: resected gastric cancer
Parameters:
(1) Lauren subtype
(2) T stage
(3) lymphocyte to neutrophil ratio (LNR)
Parameter
Finding
Disease-Free Survival
Cumulative Survival
Lauren subtype
intestinal
0
0
diffuse
2
3
mixed
0
1
T stage
T1
0
T2
3
T3 or T4
6
LNR
5 * LNR
8 * LNR
total score =
= SUM(points for the 3 parameters)
Interpretation:
• minimum score: 0
• maximum score for progression (disease-free survival): 13
• maximum score for death (cumulative survival): 11
Score
Group
Disease-Free Survival at 150 months
<= 3
SC1
88%
3.01 to 6
SC2
48%
6.01 to 10
SC3
34%
10.01 to 13
SC4
10%
Score
Group
Cumulative Survival at 150 months
< 1
SC1
83%
1 to 4.99
SC2
60%
5 to 7.99
SC3
35%
8 to 11
SC4
19%
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