Description

Silva-Figueroa et al reported a simple prognostic score for a patient with parathyroid carcinoma. This can help to identify a patient who may benefit from more aggressive management. The authors are from MD Anderson Cancer Center and the Medical College of Wisconsin.


Patient selection: parathyroid carcinoma

 

Outcome: recurrence-free survival (RFS)

 

Parameters:

(1) age in years

(2) serum calcium concentration in mg/dL

(3) vascular invasion

 

Parameter

Finding

Points

ae in years

<= 65 years

0

 

> 65 years

1

serum calcium

<= 15 mg/dL

0

 

> 15 mg/dL

1

vascular invasion

no

0

 

yes

1

 

total score =

= SUM(points for all 3 parameters)

 

Interpretation:

minimum score: 0

maximum score: 3

The higher the score the worse the recurrence-free survival (RFS).

 

Total Score

Risk Group

2-Year RFS

0

low

93%

1

moderate

72%

2

high

27%

3

NA

NA

 


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