_id

683a1613c782e11e38d1b196

id

3909

title

Additional Nodal Metastasis Nomogram

full_title

Additional Nodal Metastasis Nomogram

short_title

Additional Nodal Metastasis Nomogram

med_description

Predicts likelihood of breast cancer with sentinel lymph node metastasis has also spread to additional lymph nodes.

short_description

Additional lymph node mets in breast CA.

slug

additional-nodal-metastasis-nomogram

description

The Additional Nodal Metastasis Nomogram predicts likelihood of breast cancer with sentinel lymph node metastasis has also spread to additional lymph nodes.

keywords

breast ca, nodal mets, nodal metastasis, breast cancer, brca, additional nodal mets

complaint

[ "Weakness", "Weight Loss/Gain" ]

formula

Multivariate nomogram, with assigned points to 8 criteria.

evidence

measurements

[ { "name": "Negative SLNs", "unit": "pos_sln", "error_min": "-1", "error_max": "7", "warn_min": "0", "warn_max": "6", "conversion": "1", "normal_max_si": "0", "normal_max_us": "0", "normal_min_si": "0", "normal_min_us": "0", "units_si": " ", "units_us": " " }, { "name": "Negative SLNs", "unit": "neg_sln", "error_min": "-1", "error_max": "14", "warn_min": "0", "warn_max": "13", "conversion": "1", "normal_max_si": "0", "normal_max_us": "0", "normal_min_si": "0", "normal_min_us": "0", "units_si": " ", "units_us": " " }, { "name": "cm", "unit": "path_tum_size", "error_min": "-1", "error_max": "9", "warn_min": "0", "warn_max": "8", "conversion": "1", "normal_max_si": "0", "normal_max_us": "0", "normal_min_si": "0", "normal_min_us": "0", "units_si": "cm", "units_us": "cm" } ]

information

refrences

{ "Clinical Practice Guidelines": [ { "href": "", "text": "" } ], "Manufacturer Website": [ { "href": "", "text": "" } ], "Original/Primary Reference": [ { "href": "https://www.ncbi.nlm.nih.gov/pubmed/16021535", "text": "Specht MC, Kattan MW, Gonen M, Fey J, Van Zee KJ. Predicting nonsentinel node status after positive sentinel lymph biopsy for breast cancer: clinicians versus nomogram. Ann Surg Oncol. 2005 Aug;12(8):654-9." } ], "Other References": [ { "href": "https://www.ncbi.nlm.nih.gov/pubmed/15251163", "text": "Goyal A, Douglas-Jones A, Newcombe RG, Mansel RE; ALMANAC Trialists Group. Predictors of non-sentinel lymph node metastasis in breast cancer patients. Eur J Cancer. 2004 Jul;40(11):1731-7." } ], "Outcomes": [ { "href": "", "text": "" } ], "Validation": [ { "href": "https://education.surgery.ufl.edu/Lectures/Van%20Zee%20SLN%20Nomogram%20Ann%20Surg%20Onc%202003.pdf", "text": "Van Zee KJ, et. al. A nomogram for predicting the likelihood of additional nodal metastases in breast cancer patients with a positive sentinel node biopsy. Ann Surg Oncol. 2003 Dec;10(10):1140-51." } ], "Validations": [] }

pearls

usecase

reasons

next_advice

next_actions

next_management

diseases

[ "Breast Cancer" ]

input_schema

[ { "conditionality": null, "default": null, "label_en": "Nuclear Grade", "mdcalc_info_concept": null, "name": "nuc", "option_fhir_rules": null, "optional": false, "options": [ { "label": "Ductal I", "value": 0 }, { "label": "Ductal II", "value": 1 }, { "label": "Ductal III", "value": 10 }, { "label": "Lobular", "value": 6 } ], "show_points": true, "tips_en": "", "type": "radio" }, { "conditionality": null, "default": 0, "label_en": "Lymphovascular Invasion (LVI)", "md_calc_info_concept": null, "name": "lvi", "option_fhir_rules": null, "optional": false, "options": [ { "label": "No", "value": 0 }, { "label": "Yes", "value": 22 } ], "show_points": true, "tips_en": "", "type": "toggle" }, { "conditionality": null, "default": 0, "label_en": "Multifocal", "md_calc_info_concept": null, "name": "multi", "option_fhir_rules": null, "optional": false, "options": [ { "label": "No", "value": 0 }, { "label": "Yes", "value": 15 } ], "show_points": true, "tips_en": "", "type": "toggle" }, { "conditionality": null, "default": 0, "label_en": "Estrogen Receptor (ER) Status", "md_calc_info_concept": null, "name": "er", "option_fhir_rules": null, "optional": false, "options": [ { "label": "Negative", "value": 0 }, { "label": "Positive", "value": 17 } ], "show_points": true, "tips_en": "", "type": "toggle" }, { "conditionality": null, "default": null, "fhir_rules": null, "inct": null, "label_en": "Number of negative <abbr title='Sentinel Lymph Nodes'>SLN</abbr>s", "name": "numneg", "optional": false, "tips_en": "Range: 0-14", "type": "textbox", "unit": "neg_sln" }, { "conditionality": null, "default": null, "fhir_rules": null, "inct": null, "label_en": "Number of positive <abbr title='Sentinel Lymph Nodes'>SLN</abbr>s", "name": "numpos", "optional": false, "tips_en": "Range: 0-7", "type": "textbox", "unit": "pos_sln" }, { "conditionality": null, "default": null, "fhir_rules": null, "inct": null, "label_en": "Pathologic Size of Tumor", "name": "size", "optional": false, "tips_en": "Range: 0-9 cm", "type": "textbox", "unit": "path_tum_size" }, { "conditionality": null, "default": null, "label_en": "<p>Method of detection of <abbr title=\"Sentinel Lymph Nodes\">SLN</abbr> metastases</p>", "mdcalc_info_concept": null, "name": "meth", "option_fhir_rules": null, "optional": false, "options": [ { "label": "Immunohistochemistry (IHC)", "value": 0 }, { "label": "Serial hematoxylin and eosin (HE)", "value": 23 }, { "label": "Routine", "value": 35 }, { "label": "Frozen", "value": 81 } ], "show_points": true, "tips_en": "", "type": "radio" } ]

instructions

published

2022-04-21T20:29:23.687Z

purpose

[ "Prognosis" ]

search_terms

[ "additional", "lymph", "mets", "breast CA" ]

seo

{ "keywords_en": "breast ca, nodal mets, nodal metastasis, breast cancer, brca, additional nodal mets", "meta_description_en": "The Additional Nodal Metastasis Nomogram predicts likelihood of breast cancer with sentinel lymph node metastasis has also spread to additional lymph nodes." }

specialty

[ "Hematology and Oncology", "Internal Medicine", "OB-Gyn", "Surgery (General)" ]

departments

[ "Oncologic" ]

tags

[]

version_number

1

versions

[]

related

[ { "calcId": 3647, "short_title_en": "Gail Model for Breast CA Risk", "slug": "gail-model-breast-cancer-risk" }, { "calcId": 10492, "short_title_en": "Breast Cancer Brain Metastasis", "slug": "nomogram-breast-cancer-brain-metastasis" }, { "calcId": 3925, "short_title_en": "Fong Score", "slug": "fong-clinical-risk-score-colorectal-cancer-recurrence" } ]

ismed

false

section

[ "evidenceViewed" ]

cleaned_departments

[ "oncology" ]

cleaned_use

[]

pub

false