Score of Jun et al for Predicting Extrahepatic Metastasis in a Patient with Hepatocellular Carcinoma Following Curative Hepatectomy

 

Patient selection: hepatocellular carcinoma following curative hepatectomy

 

Outcome: extrahepatic metastases (EHM)

 

Parameters:

(1) tumor size in cm

(2) capsule of the tumor

(3) microvascular invasion (MVI)

 

Parameter	Finding	Points
capsule	complete	0
	incomplete	25
microvascular invasion	no	0
	yes	26

 

score =

= (diameter in cm) + (points for capsule) + (points for microvascular invasion)

 

Interpretation:

• minimum score: 0

• maximum score: 72 or more (depending on the diameter of the tumor)

• The higher the score the greater the risk for extrahepatic metastases.

• A score >= 43 was associated with a higher risk for extrahepatic metastases.

 

Performance:

• The AUC for the ROC curve was 0.81 with sensitivity 90% and specificity 62%.