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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.


As you all know the Corona virus (COVID-19) is effecting all of our countries and healthcare. We hope everyone is still healthy. Take care!

At the moment a total of 120 patients have been included in the study. Vejle Hospital in Denmark is leading the inclusions with 46 patients so far. We hope to welcome two new hospitals in Spain soon.


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.