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Description

The Diameter-Axial-Polar Nephrometry Score is associated with various outcomes in patients with a renal tumor.


Patient selection: renal tumor

 

Parameters:

(1) diameter of tumor in cm

(2) axial distance from horizontal center cm

(3) polar distance from coronal center in cm

 

Parameter

Finding

Points

diameter of the tumor

< 2.4 cm

1

 

2.4 to 4.4 cm

2

 

> 4.4 cm

3

axial distance

overlap with center

3

 

<= 1.5 cm

2

 

> 1.5 cm

1

polar distance

> 2 cm

1

 

<= 2 cm

2

 

overlap with central line

3

 

total score =

= SUM(points for all 3 parameters)

 

Interpretation:

• minimum score: 3

• maximum score: 9

• The higher the score the greater the surgical complexity and greater loss of long-term renal function.

• A lower score can undergo partial nephrectomy.


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