Tokuhashi Score (Revised) 

Updated: Dec 09, 2014
  • Author: Buck Christensen; Chief Editor: Buck Christensen  more...
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Tokuhashi Score

The revised Tokuhashi score is a prognostic scoring systems for spinal metastases. [1, 2]

Table 1. Revised Tokuhashi Score [1, 2] (Open Table in a new window)

Category Options Score
General condition (performance status) Poor (PS 10%-40%) 0
Moderate (PS 50%-70%) 1
Good (PS 80%-100%) 2
Number of extraspinal bone metastases foci ≥3 0
1-2 1
0 2
Number of metastases in the vertebral body ≥3 0
2 1
1 2
Metastases to major internal organs Unremovable 0
Removable 1
No metastases 2
Primary cancer site Lung, osteosarcoma, stomach, bladder, esophagus, pancreas 0
Liver, gallbladder, unidentified 1
Others 2
Kidney, uterus 3
Rectum 4
Thyroid, prostate, breast carcinoid tumor 5
Palsy Complete (Frankel A, B) 0
Incomplete (Frankel C, D) 1
None (Frankel E) 2

Table 2. Tokuhashi Survival Prognosis (Open Table in a new window)

Total Score Survival
0-8 < 6 months
9-11 6-12 months
12-15 >1 year