Risk Stratification Tree of Radespiel-Troger et al for Predicting Recurrence After Curative Resection of Colon Carcinoma

Description

Radespiel-Troger developed a risk stratification tree for predicting recurrence after curative resection of colon carcinoma. This can help identify patients who may benefit from more aggressive management and monitoring. The authors are from the University of Erlangen-Nuernberg in Germany.

Patient selection: exclusion of patients with distant metastases (M1)

Parameters:

(1) pathologic T stage (from TNM)

(2) pathologic N stage (from TNM)

(3) number of lymph nodes involved)

(4) venous invasion

(5) emergency presentation

Group	TNM	Number of Nodes Positive	Other Findings	5 Year DSS
1	pTis/1/2, N0	0		95%
2a	pT3/4, N0	0	not emergency	86%
2b	pT3/4, N0	0	emergency	66%
3a	pN1	1	no venous invasion	88%
3b1	pN1	1	venous invasion	66%
3b2	pN1	2 or 3		66%
3c	pN2	>= 4		42%

where:

• DSS = disease specific survival

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Description

Specialty

ICD-10