Score of Van der Linden et al for Predicting Pathologic Fracture of the Femur (Modified Mirels Score)

Purpose: To evaluate a patient with metastatic cancer in the femur for risk of pathologic fracture using the score of Van der Linden et al (modified Mirels score).

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Evaluation

Are you evaluating a patient with a metastasis to the femur?

Yes

Pain in the femur on a scale of 0 (none) to 10 (extreme, worst imaginable)

Percent of cortical circumference involved by tumor (enter from 0 to 100)

Axial cortical involvement

Select an appropriate answer for each finding

Location

Radiographic pattern

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Modified Mirels score

Is the patient at risk for pathologic fracture based on the modified Mirels score?

Are other predictors of pathologic fracture present?

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Clinical Diagnosis, Including Family History For Genetics
- Evaluation of Cancer Patient with Headache for Intracranial Metastases
- PROMISE Model for Patient with Malignant Pleural Effusion
Imaging Studies
- Peritoneal Cancer Index (PCI) for Quantitation of Abdominal and Pelvic Metastases on CT Scan
Laboratory Tests
- Biochemical PROMISE Score for Patient with Malignant Pleural Effusion
Criteria For Diagnosis
- Score Index for Radiosurgery (SIR) for Patient with Brain Metastases
Severity, Prognosis, Stage

Therapy

Options
- Score Index for Radiosurgery (SIR) for Patient with Brain Metastases
- Diagnosis of Metastatic Breast Cancer to Bone
Selection
- Diagnosis of Metastatic Breast Cancer to Bone
- Prognostic Factors for Patient with Carcinoma of Unknown Primary Site

Monitoring

Response To Therapy
- Score Index for Radiosurgery (SIR) for Patient with Brain Metastases
Disease Progression
- Score Index for Radiosurgery (SIR) for Patient with Brain Metastases

Specialty

Hematology Oncology
Surgery, general

Objective

risk factors
severity
prognosis
stage

ICD-10

C79.9 - Secondary malignant neoplasm of other specified sites

Info

Purpose: To evaluate a patient with metastatic cancer in the femur for risk of pathologic fracture using the score of Van der Linden et al (modified Mirels score).

Specialty: Hematology Oncology, Surgery, general

Objective: risk factors, severity, prognosis, stage

ICD-10: C79.9,

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