Description

Demicco et al developed a risk model for patients with solitary fibrous tumor (SFT). This model can help to identify a patient who may benefit from more aggressive management. The authors are from the University of Texas M.D. Anderson Cancer Center in Houston.


 

Parameters:

(1) age in years

(2) diameter of tumor in cm

(3) mitotic figures per 10 high power field (hpf)

Parameter

Finding

Points

age in years

< 55 years

0

 

>= 55 years

1

diameter in cm

< 5 cm

0

 

5 to 9.9 cm

1

 

10 to 14.9 cm

2

 

>= 15 cm

3

mitotic figures

0 per 10 hpf

0

 

1 to 3 per 10 hpf

1

 

>= 4 per 10 hpf

2

 

where:

• The field area for the high power field was not stated. Magnification was 400x.

• The highest mitotic count out of 3 to 5 10-field counts was used.

 

total score =

= SUM(points for all 3 parameters)

 

Interpretation:

• minimum score: 0

• maximum score: 6

• The higher the score the worse the prognosis.

 

Total Score

Risk Group

10 Year DSS

0 to 2

low

100%

3 or 4

intermediate

93%

5 or 6

high

0%

 


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