Table 6.
The Revised Tokuhashi Score
| Predictive Factors | Point(s) |
|---|---|
| General condition (Karnofsky Performance Status, %) | |
| Poor (10-40) | 0 |
| Moderate (50-70) | 1 |
| Good (80-100) | 2 |
| Number of extraspinal bone foci | |
| ≥3 | 0 |
| 1-2 | 1 |
| 0 | 2 |
| Number of metastasis in the vertebral body | |
| ≥3 | 0 |
| 1-2 | 1 |
| 0 | 2 |
| Metastasis to the major internal organs | |
| Nonremovable | 0 |
| Removable | 1 |
| No metastasis | 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, arcinoid | 5 |
| Palsy | |
| Frankel A, B (Complete) | 0 |
| Frankel C, D (Incomplete) | 1 |
| Frankel E(None) | 2 |
| Prognostic Categories (Points) | Interpretation |
| 0-8 | 85% lives < 6 months with conservative treatment or palliative surgery |
| 9-11 | 73% lives > 6 months (and 30% > 12 months) with palliative surgery or (exceptionally) excisional surgery |
| 12-15 | 95% lives > 12 months with excisional surgery |