Derkay Scoring for Recurrent Respiratory Papillomatosis

For each site, 0 = none, 1 = surface lesion, 2 = raised lesion, 3 = bulky lesion

Sites:

• Epiglottis – lingual surface
• Epiglottis – laryngeal surface
• Right aryepiglottic fold
• Left aryepiglottic fold
• Right false vocal fold
• Left false vocal fold
• Right true vocal fold
• Left true vocal fold
• Right arytenoid
• Left arytenoid
• Anterior commissure
• Posterior commissure
• Subglottis Trachea – upper one third
• Trachea – middle one third
• Trachea – lower one third
• Right bronchus
• Left bronchus
• Tracheostomy stoma
• Nose
• Pharynx
• Esophagus
• Lungs
• Other

Total Anatomical Score (0-75)

• <20 low risk for adjuvant therapy
• ≥20 high risk for adjuvant therapy

Hester RP, Derkay CS, Burke BL, Lawson ML. Reliability of a staging assessment system for recurrent respiratory papillomatosis. Int J Pediatr Otorhinolaryngol. 2003;67(5):505-9.

Derkay CS. Recurrent respiratory papillomatosis. Laryngoscope. 2001;111(1):57-69.

Contribute by Emily Zhang