Staged by the presence of metastatic disease.
The Ependymoma — Toronto Stage is a oncology scoring tool used in paediatric practice. Staged by the presence of metastatic disease. It scores 1 criteria and interprets the total across 2 bands, so the number always arrives with the severity it implies rather than on its own. In PediAid each criterion is shown as a labelled option with the weight it carries, so the total can be checked rather than taken on trust.
1. They are Metastatic status at diagnosis.
The total is interpreted as: 1 stage or more - Stage I: localised ependymoma. Extent of resection is the strongest prognostic factor - aim for gross total resection followed by focal radiotherapy; 2 stage or more - Stage II: metastatic ependymoma - craniospinal radiotherapy and chemotherapy; significantly poorer prognosis.
No. It is a structured way to record and communicate severity. A clinician concerned about a child should act on that concern regardless of the total.
Source: Gupta S, Aitken JF, Bartels U et al. Paediatric cancer stage in population-based cancer registries: the Toronto consensus principles and guidelines. Lancet Oncol 2016;17:e163-72.
Yes. Score definitions are bundled with the PediAid app, so the score computes without a connection.