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. 2016 Feb 18;7(2):109–116. doi: 10.5312/wjo.v7.i2.109

Table 2.

Tokuhashi classification[14]

Characteristic Score
General condition (performance status)
Poor (10%-40%) 0
Moderate (50%-70%) 1
Good (80%-100%) 2
No. of extraspinal bone metastasis foci
≥ 3 0
1-2 1
0 2
No. of extraspinal metastasis foci in the vertebral body
≥ 3 0
1-2 1
0 2
Metastases to the major internal organs
Unremovable 0
Removable 1
No metastases 2
Primary site of the cancer
Lung, osteosarcoma, stomach, bladder, esophagus, pancreas 0
Liver, gallbladder, unidentified 1
Others 2
Kidney, uterus 3
Rectum 4
Thyroid, breast, prostate, carcinoid tumor 5
Palsy
Complete (Frankel A, B) 0
Incomplete (Frankel C, D) 1
None (Frankel E) 2

Criteria of predicted prognosis: Total score (TS) 0-8: < 6 mo; TS 9-11: ≥ 6 mo; TS 12-15: ≥ 1 year.