Description

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


Patient selection: retroperitoneal sarcoma, from 10 to 90 years of age

 

Outcome: 7-year overall survival (OS)

 

Parameters:

(1) tumor diameter in centimeters

(2) FNCLCC grade

(3) histologic subtype

(4) multifocality

(5) age

(6) extent of resection

 

Tumor Diameter

Points

0 to 20 cm

(-0.037635 * ((size)^2)) + (3.3559 * (size)) - 0.60102

20 to 30 cm

(0.392 * (size)) + 43.12

30 to 80 cm

(-0.0006125 * ((size)^2)) - (0.075425 * (size)) + 57.76

 

 

Age in Years

Points

10 to 50 years

(-0.37255 * (years)) + 18.373

50 to 60 years

(0.29412 * (years)) - 14.706

60 to 90 years

(1.1001 * (years)) - 63.954

 

 

Parameter

Finding

Points

FNCLCC grade

Grade 1

0

 

Grade 2

74.5

 

Grade 3

100

histologic subtype

solitary fibrous tumor

0

 

malignant peripheral nerve sheath tumor

5.9

 

liposarcoma, dedifferentiated

7.8

 

leiomyosarcoma

20

 

liposarcoma, well-differentiated

41.2

 

unclassified, undifferentiated pleomorphic

25.5

 

other

21.6

multifocal

no (unifocal)

0

 

yes

26.5

extent of resection

complete

0

 

incomplete

16.7

 

total score =

= SUM(points for all 6 parameters)

 

Interpretation:

minimum score: 0

maximum score: 275.3

 

Total Score

7-year overall survival

< 19.4

> 99%%

19.4 to 206

see X below

> 206

< 1%

 

X =

= (-0.000001806 * ((score)^3)) + (0.00045265 * ((score)^2)) - (0.065888 * (score)) + 5.764

 

probability =

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


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