Table 2 The Leibovich Score, an algorithm for predicting metastases after radical nephrectomy (Leibovich et al, 2003)

From: Medical treatment of renal cancer: new horizons

Feature

Score

Primary tumour status

pT1a

0

pT1b

2

pT2

3

pT3a

4

pT3b

4

pT3c

4

pT4

4

Regional lymph node status

pNx

0

pN0

0

pN1

2

pN2

2

Tumour size (cm)

<10

0

10

1

Nuclear grade

1

0

2

0

3

1

4

3

Histologic tumour necrosis

No

0

Yes

1

Risk group (score)

5-Year metastasis-free survival

10-Year metastasis-free survival

Low (0,1,2)

97.1%

92.5%

Intermediate (3,4,5)

73.8%

64.3%

High (6)

31.2%

23.6%

  1. Staging is according to the 2002 AJCC TNM staging system. Patients can be stratified into three risk groups: low risk (score 0–2), intermediate risk (score 3–5) and high risk (score 6).