# ESMO Interactive Guidelines vs TNM Class

The clearest difference is in-app purchases: ESMO Interactive Guidelines at none against TNM Class's 1. ESMO Interactive Guidelines also leads on ads (none vs shown). TNM Class's advantage is chart position (#198 vs unranked). On price, update cadence, device support and iOS requirement there is nothing between them.

Both are free to download. TNM Class sells 1 one-off in-app purchase. ESMO Interactive Guidelines asks for nothing beyond the download.

ESMO Interactive Guidelines ships an update every 6 months, TNM Class every 4 months. The most recent releases landed on October 29, 2026 and October 25, 2026 respectively.

## The numbers

| Metric | ESMO Interactive Guidelines | TNM Class |
| --- | --- | --- |
| Price | Free | Free |
| Rating | **[4.8 (157 ratings)](https://appshunter.io/ios/app/esmo-interactive-guidelines/id1037353712/reviews)** | — |
| Number of ratings | **157** | — |
| Positive reviews | 66.7% of reviews | — |
| In-app purchases | **No** | Yes |
| Ads | **No** | Yes |
| Update frequency | Every 6 months | **Every 4 months** |
| Monetization | Free | — |
| Best chart rank | — | **#198** |
| Size | 195 MB | 149 MB |
| Requires iOS | **12.0** | 13.0 |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Age rating | 12+ | 17+ |
| Developer | [European Society for Medical Oncology - ESMO](https://appshunter.io/developer/515544538) | [Skyscape Medpresso Inc](https://appshunter.io/developer/818609416) |

## What reviewers say

### ESMO Interactive Guidelines

[App page](https://appshunter.io/ios/app/esmo-interactive-guidelines/id1037353712)

Access concise, practical treatment recommendations based on the latest scientific research. This app provides interactive tools, algorithms, and calculators to support healthcare professionals in decision-making and guideline navigation.

**Highlights:** Concise treatment recommendations, Interactive decision-making tools, Treatment algorithms and calculators, Keyword search functionality, Bookmarking and note-taking, News and push notifications

**Features:** macOS Compatibility, Vision Pro support

**In-app purchases:** none


### TNM Class

[App page](https://appshunter.io/ios/app/tnm-class-malignant-tumours/id1554077554)

**Currently charting:** #198 Top Grossing · Medical (US App Store)

**Features:** macOS Compatibility, Vision Pro support

**In-app purchases (1)**

| Purchase | Price | Billing |
| --- | --- | --- |
| TNM Class.of Malignant Tumours | $39.99 | one-time |


## Frequently asked questions

### Is ESMO Interactive Guidelines free?

ESMO Interactive Guidelines is free to download, with no in-app purchases.

### Is TNM Class free?

TNM Class is free to download, with in-app purchases available.

### Do ESMO Interactive Guidelines or TNM Class have ads?

TNM Class shows ads; ESMO Interactive Guidelines does not.

### Which is updated more often, ESMO Interactive Guidelines or TNM Class?

ESMO Interactive Guidelines ships an update every 6 months, and TNM Class every 4 months. Most recently, ESMO Interactive Guidelines was updated on October 29, 2026 and TNM Class on October 25, 2026.

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*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*