多原发恶性肿瘤的确定及编码

Determination and Encoding of Multiple Primary Malignant Tumors

在国际疾病分类的肿瘤分类中,对于"独立(原发)多个部位的恶性肿瘤"的界定在国际上因为观点的不同而存在着分歧,还没有一个统一的规则,国内到目前为止也没有明确的规定。经与病理医师及临床医师讨论取得共识,并结合《国际疾病分类肿瘤学专辑》第三版(ICD-O3)的理念,本文运用归类举例说明的方法,归纳出确定多原发恶性肿瘤的要点:第一,必须是两个及以上的恶性肿瘤;第二,恶性肿瘤彼此是独立的原发的;第三,与发生的时间没有关系。此外,必要时还需与病理及临床科室联系,具体情况具体分析。发生多原发恶性肿瘤时采用综合编码C97来表达。

In the international classification of diseases of tumor classification,there is no uniform rule intheworldbecauseof the different viewstothe definition of multiple primary malignant tumor. And now in our country there is also no clearly defined. With the consensus between pathologists and clinicians,and combine with the concept of ICD-O3. Using the method of classified examples, summarized the main points ofmultiple primary malignant tumors： First, they must be two or more malignant tumors;Second, primary malignant tumors should be independent; third, time does not matter with tumor. It is necessary contact with the pathology and clinical departments in some conditions,concrete analysis of concrete conditions. Multiple primary malignant tumors should use comprehensive coding C97 to express.