Dasari et al reported a score for predicting survival following resection of a hepatocellular carcinoma arising in a non-cirrhotic liver. The authors are from Queen Elizabeth Hospital (Birmingham), the Ohio State University and MD Anderson Medical Center.
Patient selection: status post resection of a hepatocellular carcinoma from a non-cirrhotic liver
Parameters:
(1) sex of the patient
(2) tumor diameter in mm
(3) number of tumors
(4) tumor lobes
(5) major vascular invasion
Parameter
Finding
Points
sex of the patient
female
0
male
1
tumor diameter
< 35 mm
0
35 to 94 mm
1
>= 95 mm
2
number of tumors
1
0
>= 2
1
tumor lobes
unilobar
0
bilobar
1
major vascular invasion
no
0
yes
4
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 9
Risk Score
Risk Category
5-Year Survival
0 or 1
low
68 to 73%
2 to 4
moderate
50 to 52%
5 to 9
high
19 to 25%
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