Bessell et al developed a score for predicting outcome in a patient with primary non-Hodgkin's lymphoma affecting the central nervous system (CNS). The authors are from Nottingham City Hospital in England and the University of Barcelona in Spain.
Parameters:
(1) age of the patient in years
(2) ECOG performance scale
(3) extent of disease
Parameter
Finding
Points
age of the patient
< 60 years
0
>= 60 years
1
ECOG performance
0 or 1
2, 3 or 4
extent of disease
multifocal and/or meningeal disease (advanced stage)
unifocal, nonmeningeal disease
total score =
= SUM(points for all 3 parameters)
Interpretation:
• minimum score: 0
• maximum score: 3
• The higher the score the worse the clinical outcome.
Total Score
Median Survival
55 months
41 months
2
32 months
3
1 month
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Purpose: To evaluate a patient with a primary non-Hodgkin's lymphoma of the CNS using the Nottingham/Barcelona prediction score.
Specialty: Hematology Oncology
Objective: severity, prognosis, stage
ICD-10: C82, C83, C85,
