Sylvester et al reported scores for recurrence and progression of a Ta or T1 carcinoma of the urinary bladder. The authors are from multiple institutions in Belgium and The Netherlands.
Patient select: Ta or T1 urothelial carcinoma of the urinary bladder
Parameters:
(1) number of tumors
(2) tumor size in cm (unspecified for multiple tumors)
(3) prior recurrence rate
(4) T category
(5) carcinoma in situ (CIS)
(6) histologic grade
Parameter
Finding
Points for Recurrence
Points for Progression
number of tumors
1
0
0
2 to 7
3
3
>= 8
6
3
tumor size
< 3 cm
0
0
>= 3 cm
3
3
prior recurrence
primary
0
0
<= 1 per year
2
2
> 1 per year
4
2
T category
Ta (noninvasive papillary)
0
0
T1 (into lamina propria)
1
4
CIS
no
0
0
yes
1
6
grade
G1
0
0
G2
1
0
G3
2
5
score for recurrence =
= SUM(points for all 6 parameters)
score for progression =
= SUM(points for all 6 parameters)
Interpretation:
• minimum scores: 0
• maximum recurrence score: 17
• maximum progression score: 23
Progression Score
5-Year Progression
0
31%
1 to 4
46%
5 to 9
62%
10 to 17
78%
Reucrrence Score
5-Year Recurrence
0
0.8%
2 to 6
6%
7 to 13
17%
14 to 23
45%
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