甲状腺肿瘤的分期和预后得分策略.docVIP

MAICS? The MAICS method was developed by the Mayo Clinic based on careful evaluation of a large group of patients. It is probably the most reliable staging method available and therefore most accurately predicts a patient’s outcome compared to other methods. It was developed to determine the prognosis of patients with papillary thyroid cancer. MAICS is an abbreviation for the factors taken into account to predict survival: (distant) Metastasis or spread of the cancer to areas outside the neck, Age of the patient at the time the tumor was discovered, Invasion of the cancerous tumor into surrounding areas of the neck as seen by the naked eye, (in)Completeness of surgical resection (or removal) of the tumor, and Size of the tumor. ?FACTORS ?SCORE ?distant Metastasis: Did the tumor spread to other parts of the body outside of the region of the neck? yes = 3 no = 0 ?Age at the time the tumor was found less than 39 years = 3.1 over 40 = 0.08 x age ?Invasion:Did the surgeon see that the tumor had extended beyond the thyroid into other regions of the neck? yes = 1 no = 0 ?inComplete resection: Were there parts of the tumor that the surgeon was unable to remove (for example a part that was attached to the windpipe)? yes = 1 no = 0 ?Size of tumor (measured by the pathologist) 0.3 x size in cm ? MACIS系统(适用于乳头状甲状腺癌) 得分= 3.1 (年龄40 岁) 或0.08 ×?年龄 (年龄≥40 岁) + 0.3分 × 肿瘤大小(厘米，最大径线) + 1 (肿瘤未完全切除) + 1 (局部侵犯) + 3 (远处转移) Once the score for each factor is calculated, they are added up to get a total MAICS score and this total predicts the likelihood that the patient will live 20 years from the time the tumor was discovered. Fortunately most patients fall into the low risk category (MAICS score less than 6.0) and are cured of the cancer at the time of surgery. 20-year survival rate according to MAICS score MAICS Score 6.0 6.0 - 6.99 7.0 - 7.99 8.0 20 yr Survival 99% 89% 56% 24% AMES Anther popular staging method is the AMES method, developed by the Lahey Clinic. Like the TNM method, i