Table 4.

Severity scoring of iMCD

CharacteristicMildIntermediateSevere
ECOG PS 0-1 — ≥2 
eGFR Normal — <30 min/mL 
Fluid overload None — Anasarca, ascites, or effusions 
Hemoglobin, g/dL ≥10 — ≤8.0 
Pulmonary involvement None — Present 
CharacteristicMildIntermediateSevere
ECOG PS 0-1 — ≥2 
eGFR Normal — <30 min/mL 
Fluid overload None — Anasarca, ascites, or effusions 
Hemoglobin, g/dL ≥10 — ≤8.0 
Pulmonary involvement None — Present 

Adapted from van Rhee et al.84 

Severe iMCD requires having 2 of the 5 severe criteria. Mild iMCD requires having all 5 of the mild criteria. Intermediate cases do not meet criteria for mild or severe. Mild and intermediate cases are considered to be nonsevere for treatment algorithm purposes.

—, not meeting crieteria for mild or severe; ECOG PS, Eastern Cooperative Oncology Group Performance Status; eGFR, estimated glomerular filtration rate.

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