Descreva o achado como no laudo. A resposta aponta uma das categorias publicadas, com a probabilidade e o trecho que a decide.
Categorias
Reescritas a partir da fonte e citadas
<=7
1 de 3
Low risk
Total Mirels score of 7 or less. The score sums four variables each rated 1-3: site (1 upper limb, 2 lower limb, 3 peritrochanteric), pain (1 mild, 2 moderate, 3 functional/mechanical), lesion nature (1 blastic, 2 mixed, 3 lytic), and lesion size as fraction of cortex (1 under 1/3, 2 between 1/3 and 2/3, 3 over 2/3).
CondutaLow fracture risk; managed conservatively with analgesia and radiotherapy plus observation. Prophylactic internal fixation is generally not indicated.
RiscoLow probability of pathologic fracture; a score of 7 corresponds to about a 4% fracture risk, so lesions in this band are considered safe to irradiate without prophylactic fixation.
Total Mirels score of exactly 8 (intermediate band), summed from the four variables (site, pain, lesion nature, lesion size), each scored 1-3.
CondutaBorderline / clinical dilemma: decision between prophylactic fixation and conservative treatment rests on clinical judgment, since only a minority of these lesions fracture.
RiscoApproximately 15% probability of pathologic fracture - intermediate risk that does not clearly favor either fixation or conservative care.
Total Mirels score of 9 or greater (high band), summed from the four variables (site, pain, lesion nature, lesion size), each scored 1-3.
CondutaProphylactic internal fixation is indicated, ideally performed before irradiation to stabilize the impending pathologic fracture.
RiscoHigh probability of pathologic fracture; a score of 9 corresponds to about a 33% fracture risk (rising further with higher scores), justifying prophylactic stabilization.