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Clinical Score of Tran et al for Long-Term Survival After Repeat Resection of a Recurrent Adrenocortical Carcinoma

Description

Tran et al evaluated repeat surgery for patients with recurrent adrenocortical carcinoma. They developed a simple score which can help to identify which patients may benefit from the surgery. The authors are from multiple universities in the United States.


Patient selection: recurrent adrenocortical carcinoma, curative-intent repeat macroscopic resection (R0 and R1) after a previous primary resection

 

Outcome: overall survival

 

Parameters:

(1) disease-free interval in months after first surgery

(2) number of disease foci at repeat surgery

(3) distant metastases

 

Parameter

Finding

Points

disease-free interval

< 12 months

1

 

>= 12 months

0

number of disease foci

1

0

 

2 or more (multifocal)

1

distant metastases

none (locoregional)

0

 

lung only

0

 

any non-lung metastases

1

 

total score =

= SUM(points for all 3 parameters)

 

Interpretation:

• minimum score: 0

• maximum score: 3

• The higher the score the worse the survival.

 

Total Score

Risk Group

4-Year Survival

0

fair

72%

1

suboptimal

44%

2 or 3

poor

0

 


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