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. 2016 Jun 9;2016(6):CD007102. doi: 10.1002/14651858.CD007102.pub4

2. Modified WHO Prognostic Scoring System as adapted by FIGO for GTN.

Scores 0 1 2 4
Age (years) < 40 ≥ 40
Antecedent pregnancy mole abortion term
Interval months from index pregnancy < 4 4–6 7–12 > 12
Pretreatment serum hCG (IU/L) < 103 103 to 104 104 to 105 > 105
Largest tumour size (including uterus) < 3 3cm to 4 cm ≥ 5 cm
Site of metastases lung spleen, kidney gastrointestinal liver, brain
Number of metastases 1to 4 5 to 8 > 8
Previous failed chemotherapy single drug ≥ 2 drugs
To stage and allot a risk factor score, a patient's diagnosis is allocated to a stage as represented by a Roman numeral I, II, III, and IV. This is then separated by a colon from the sum of all the actual risk factor scores expressed in Arabic numerals, i.e., stage II:4, stage IV:9. This stage and score will be allotted for each patient.(FIGO 2009). A score ≤ 6 indicates low‐risk; > 6 indicates high‐risk.

hCG = human chorionic gonadotrophin; IU = Internationa Units