Buffet et al developed a score for predicting recurrence in a patient with a papillary thyroid microcarcinoma. The authors are from the University of Paris VI.
Patient selection: papillary carcinoma <= 10 mm in diameter
Parameters:
(1) gender
(2) number of foci
(3) cervical lymph node metastases
Parameter
Finding
Points
gender
female
0
male
1
number of foci
1
0
>= 2 (multifocal)
1
lymph node metastsess
absent
0
present
3
total score =
= SUM(points for all 3 parameters)
Interpretation:
• minimum score: 0
• maximum score: 5
• The higher the score the greater the risk of recurrence.
Total Score
Recurrence Risk
10 Year Recurrence
0, 1, 2
low
3%
3 or 4
intermediate
24%
5
high
43%
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