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Thyroid Cancer Staging
Thyroid Staging Calculator
This staging calculator is used for papillary and follicular thyroid cancer. It includes more detailed information regarding any invasion of the cancer into surrounding structures, and whether there are any lymph nodes metastases.
Hay ID, Bergstralh EJ, Goellner JR, Ebersold JR, Grant CS.
Predicting outcome in papillary thyroid carcinoma: development of a reliable prognostic scoring system in a cohort of 1779 patients surgically treated at one institution during 1940 through 1989.
Surgery. 1993 Dec;114(6):1050-7; discussion 1057-8.
MACIS Prognostic Score for Papillary Thyroid Carcinoma
The final prognostic score was defined as:
MACIS = 3.1 (if aged less than or equal to 39 years) or 0.08 x age (if aged greater than or equal to 40 years), + 0.3 x tumor size (in centimeters), +1 (if incompletely resected), +1 (if locally invasive), +3 (if distant metastases present).
Twenty-year cause-specific survival rates for patients with:
MACIS < 6: 99%
MACIS 6-6.99: 89%
MACIS 7-7.99: 56%
MACIS 8+: 24%