<prompt> Van Nuys grading is used forLCISDCISMedullary carcinoma breastInflammatory breast cancer  <response>: Van Nuys prognostic index scoreVNPI is used for Ductal Carcinoma In Situ. For calculating VNPI score we consider Size in mm, Clearance margin in mm, Grade and necrosis, Age in years and each has score according to a definite criteria. All the scores are added together. 1If points are 4-6 of local recurrence is 1, 5 year survival is 97-99, Risk is low 2 if points are 7-9, then of local recurrence is 20, 5 year survival is 73-84, Risk is intermediate 3 if the points are 10-12, then of local recurrence is 50, 5 year survival is 34-51, and Risk is High. Reference : SRBs Manual of Surgery, 6th Edition, page no 524. 