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gi-hepatology oncology

Fong Clinical Risk Score for CRC Liver Metastases

Predicts survival after resection of colorectal cancer liver metastases. Five clinical risk factors predict recurrence and survival after hepatectomy.

Score interpretation

Excellent Prognosis 0

Score 0 — 5-year survival ~60%

→ Excellent candidate for liver resection; proceed with curative intent

Good Prognosis 1–2

Score 1–2 — 5-year survival ~40–47%

→ Good candidate for resection; discuss expected outcomes with patient

Intermediate Prognosis 3

Score 3 — 5-year survival ~20%

→ Consider resection with careful patient selection and MDT discussion; neoadjuvant chemotherapy may improve selection

Poor Prognosis 4–5

Score 4–5 — 5-year survival <14%

→ High recurrence risk; consider chemotherapy ± targeted therapy first; resection controversial — MDT decision

Interpretation bands for the Fong Score. Apply clinical judgement and local guidance.

References

Related

Curated clinical cross-links plus same-class fallbacks.

Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.