Salas et al identified prognostic factors associated with survival for a patient with a desmoid tumor. These can help to identify a patient who may benefit from more aggressive management. The authors are from multiple hospitals in France and Switzerland.
Parameters associated with a worse prognosis:
(1) age in years
(2) diameter in cm
(3) location
Parameter |
Finding |
Points |
age in years |
>= 37 years |
0 |
|
< 37 years |
1 |
diameter in cm |
<= 7 cm |
0 |
|
> 7 cm |
1 |
location |
abdominal wall or intra-abdominal |
0 |
|
extra-abdominal |
1 |
where:
• The prognosis for extra-abdominal tumors was worst for distal limb or buttock and was poor for proximal limb tumors.
• The presence of macroscopic residual tumor after surgery was a poor prognostic factor on univariate analysis.
total number of poor prognostic factors =
= SUM(points for all 3 parameters)
Interpretation:
• minimum score: 0
• maximum score: 3
• The higher the score the worse the prognosis
Number of Poor Prognostic Factors |
Prognostic Group |
10 Year Survival |
0 or 1 |
good |
44% |
2 |
fair |
31% |
3 |
poor |
8% |
Specialty: Hematology Oncology, Surgery, general, Surgery, orthopedic
ICD-10: ,