Ann Arbor staging (Toronto Tier 1) with Cotswolds modification.
The Hodgkin Lymphoma — Ann Arbor Stage is a oncology scoring tool used in paediatric practice. Ann Arbor staging (Toronto Tier 1) with Cotswolds modification. It scores 1 criteria and interprets the total across 4 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 Extent of disease.
The total is interpreted as: 1 stage or more - Stage I: stage I - limited disease. Usually low-risk therapy: short chemotherapy ± involved-site radiotherapy; 2 stage or more - Stage II: stage II - favourable or unfavourable depending on bulk and B symptoms; therapy is response-adapted; 3 stage or more - Stage III: stage III - advanced disease. Multi-agent chemotherapy with response-adapted radiotherapy; 4 stage or more - Stage IV: stage IV - disseminated. High-risk multi-agent chemotherapy; consider CHIPS for prognostication.
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.
Suffix A = no systemic symptoms; B = fever >38 °C, drenching night sweats, or >10% weight loss in 6 months. Suffix E = limited contiguous extranodal extension; X = bulky disease.
Yes. Score definitions are bundled with the PediAid app, so the score computes without a connection.