Modified Spigelman score and classification of duodenal polyposis

Factor	Score
Factor	1 point	2 points	3 points
Number of polyps	1-4	5-20	>20
Polyp size, mm	1-4	5-10	>10
Histology	Tubulous	Tubulovillous	Villous
Dysplasia	Low grade	--	High grade

Classification: no polyp: stage 0; 1 to 4 points: stage I; 5 to 6 points: stage II; 7 to 8 points: stage III; 9 to 12 points: stage IV.

Reproduced with permission from: Saurin J, Gutknecht C, Napoleon B, et al. Surveillance of duodenal adenomas in familial adenomatous polyposis reveals high cumulative risk of advanced disease. J Clin Oncol 2004; 22:493. Copyright © 2004 American Society of Clinical Oncology (ASCO).

Graphic 71691 Version 5.0

آیا می خواهید مدیلیب را به صفحه اصلی خود اضافه کنید؟