Table 7.

The Tomita Score

Predictive Factors	Point(s)
Primary tumor
Slow growth (e.g., breast, prostate, thyroid)	1
Moderate (e.g., kidney, uterus)	2
Rapid growth (e.g., lung, liver, stomach, colon, primary unknown)	4
Visceral metastasis
No visceral metastasis	0
Treatable	2
Untreatable	4
Bone metastasis (including spine)
Solitary/isolated	1
Multiple	2
Prognostic Categories (Points)	Interpretation
2-3	Long-term local control (mean survival 50 months) with wide or marginal excision
4-5	Mid-term local control (mean survival 23.5 months) with marginal or intralesional excision
6-7	Short-term palliation (mean survival 15 months) with palliative surgery
8-10	Terminal care (mean survival 6months) with supportive care, no surgery