Description

Raut et al developed two nomograms for patients with a retroperitoneal sarcoma. One of these nomograms predicts disease-free survival. The authors are from multiple institutions in the North America and Europe.


Patient selection: retroperitoneal sarcoma

 

Outcome: 7-year disease-free survival (DFS)

 

Parameters:

(1) tumor diameter in centimeters

(2) FNCLCC grade

(3) histologic subtype

(4) multifocality

 

Tumor Diameter

Points

0 to 20 cm

(-0.037293 * ((size)^2)) + (3.0067 * (size)) - 0.5181

20 to 30 cm

(0.4704 * (size)) + 35.868

30 to 80 cm

53.821 - (0.1218 * (size))

 

 

Parameter

Finding

Points

FNCLCC grade

Grade 1

0

 

Grade 2

61.7

 

Grade 3

100

histologic subtype

solitary fibrous tumor

0

 

malignant peripheral nerve sheath tumor

0.1

 

liposarcoma, dedifferentiated

28

 

leiomyosarcoma

40

 

liposarcoma, well-differentiated

50

 

unclassified, undifferentiated pleomorphic

42

 

other

31

multifocal

no (unifocal)

0

 

yes

46.6

 

total score =

= SUM(points for all 4 parameters)

 

Interpretation:

minimum score: 0

maximum score: 246.6

 

Total Score

7-year disease-free survival

< 4.7

> 95%

4.7 to 212

see X below

> 212

< 1%

 

X =

= (-0.00000094416 * ((score)^3)) + (0.00019188 * ((score)^2)) - (0.034428 * (score)) + 3.1601

 

probability =

= 1 / (1 + EXP((-1) * X))


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