Bendifallah et al developed a nomogram for predicting recurrence risk for a woman with a borderline ovarian tumor. This can help to identify a patient who may benefit from aggressive management. The authors are from multiple institutions in France.
Patient selection: mucinous or serous borderline ovarian tumor, age 10 to 75
Outcome: recurrence within 5 years
Parameters:
(1) age in years
(2) FIGO staging
(3) histologic type
(4) surgical "stadification"
(5) surgery type
points for age =
= (-0.6154 * (age)) + 46.154
Parameters
Findings
Points
FIGO staging
Ia
0
Ib
44.4
Ic
51
II
75.4
III
83.5
histologic type
mucinous
0
serous
38.7
surgical excision
complete
0
incomplete
30
surgery type
bilateral salpingo-oophorectomy
0
unilateral salpingo-oophorectomy
92.3
cystectomy
100
total score =
= SUM(points for all 5 parameters)
Interpretation:
• minimum score: 0
• maximum score: 293
• The higher the score the greater the risk of recurrence.
