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  Breast Cancer Recurrence Risk After Mastectomy (simple)

 
Risk Factors
Grade of tumor

I (6 points)

II (12 points)

III (18 points)
Lymph nodes

Negative (6 points)

Positive (12 points)
Lymphatic or vascular invasion

None (4 points)

Present (8 points)

 
Total Criteria Point Count:
 
     
 
Include literature references: Yes   No

 
  Recurrence Risk

 
16 points: 8.5%
20 points: 12.5%
22 points: 15.8%
26 points: 10%
28 points: 15.5%
32 points: 33%
34 points: 38.5%
38 points: 48%

 
Notes

 
References
  1. O'Rourke S, Galea MH, Morgan D, et. al. Local recurrence after simple mastectomy. Br J Surg. 1994 Mar;81(3):386-389. PMID: 8173907 PubMed Logo
  2. EBMcalc CrossRef: Gail Model (1999 paper)
  3. EBMcalc CrossRef: Gail Model (1989 paper)

 
Associated Medical Subject Headings [MeSH] Terms
 
         Aged,   Breast Neoplasms,   Female,   Humans,   Local,   Lymph Nodes,   Mastectomy,   Middle Aged,   Neoplasm Recurrence,   Prognosis,   Retrospective Studies,   Risk Factors,   Simple,   Survival Rate,   Time Factors

 
Associated ICD10-CM Codes
 
   C50.919Malignant neoplasm of unspecified site of unspecified female breast
   Z85.3Personal history of malignant neoplasm of breast
   Z80.3Family history of malignant neoplasm of breast
   D05.90Unspecified type of carcinoma in situ of unspecified breast
   D49.3Neoplasm of unspecified behavior of breast

 
Associated ICD9-CM Codes
 
   239.3Breast neoplasm nos
   233.0Ca in situ breast
   V16.3Family hx-breast malig
   V10.3Hx of breast malignancy
   174.9Malign neopl breast nos

 
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