What is the Van Nuys Prognostic Index for your DCIS patient?

Instructions: Enter the details below for a specific patient with DCIS who has had a lumpectomy, and this calculator will return the VNPI score.

<40 yrs 40 to 60 yrs >60 yrs


>10mm 1 to 9 mm <1 mm


non-high grade, no comedonecrosis
non-high grade, with comedonecrosis
high-grade (w/ or w/o comedonecrosis)


<15mm 15-40mm >40mm

VNPI Score:


You Should:


This web calculator is based on Silverstein, MJ. The University of California/VanNuys prognostic index for ductal carcinoma in situ. Am J Surg. 2003;186:337–343. doi: 10.1016/S0002-9610(03)00265-4.
For more information, contact samuel.wang(at)salemhealth.org.

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