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The tumour-stroma ratio (TSR) is a diagnostic tool for overall and disease free survival in different epithelial cancer types. The TSR is easy to determine on H&E sections within 1-2 minutes.

The TSR is based on the amount of stroma present within the primary tumour. The parameter distinguishes between tumours with a high stroma percentage and low stroma percentage in two categories. To learn more about scoring the TSR, watch the instruction video.


On Sunday September 8th at 9:00 am, the results of the E-learning will be presented at the ECP congress in Nice!

Congratulations to Denmark for including their first patient for the prospective study! Up until now we have 56 patients included. At the moment 8 institutes are open for inclusion.
We are still open for new sites to participate! Contact us for more information!


The E-learning is available, to learn how to score TSR.

The UNITED study

Uniform Noting for International application of the Tumour-stroma ratio as Easy Diagnostic tool.