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EUTOS Score for Chronic Myelogenous Leukemia (CML)

Predicts complete cytogenetic response and PFS on imatinib.

EUTOS Score for Chronic Myelogenous Leukemia (CML)
Peripheral blood basophils
%
Spleen size palpable below costal margin
cm
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When to use

  • Pretreatment risk stratification of newly diagnosed chronic-phase CML started on imatinib.

Formula

EUTOS score = 7 × basophils (%) + 4 × spleen size (cm below costal margin, palpation). Score >87 = high risk; ≤87 = low risk.

Pearls and pitfalls

  • Derived from 2060 patients on first-line imatinib in the European Treatment and Outcome Study registry.
  • Largely superseded by the Sokal and ELTS scores for outcomes on newer tyrosine kinase inhibitors, but still widely reported.

References

  1. Hasford J, et al. Blood. 2011;118(3):686-92.