第二章　腫瘤

Transcription

1 (C00-D48) Chapter II Neoplasms (C00-D48) 列 () This chapter contains the following broad groups of neoplasms: C00-C75 惡 淋 C00-C14 咽 C15-C26 C30-C39 ( ) C40-C41 C43-C44 C45-C49 C50 C51-C58 女 C60-C63 C64-C68 泌 尿 C69-C72 神 C73-C75 狀 泌 C76-C80 不 惡 C81-C96 淋 惡 C97 立 ( )( ) 惡 C00-C75 Malignant neoplasms, stated or presumed to be primary, of specified sites, except of lymphoid, haematopoietic and related tissue C00-C14 Lip, oral cavity and pharynx C15-C26 Digestive organs C30-C39 Respiratory and intrathoracic organs C40-C41 Bone and articular cartilage C43-C44 Skin C45-C49 Mesothelial and soft tissue C50 Breast C51-C58 Female genital organs C60-C63 Male genital organs C64-C68 Urinary tract C69-C72 Eye, brain and other parts of central nervous system C73-C75 Thyroid and other endocrine glands C76-C80 Malignant neoplasms of ill-defined, secondary and unspecified sites C81-C96 Malignant neoplasms, stated or presumed to be primary, of lymphoid, haematopoietic and related tissue C97 Malignant neoplasms of independent (primary) multiple sites D00-D09 D10-D36 良 D00-D09 In situ neoplasms D10-D36 Benign neoplasms 165

2 D37-D48 () D37-D48 Neoplasms of uncertain or unknown behaviour 1. 不 惡 C76-C80 類 惡 1. Primary, ill-defined, secondary and unspecified sites of malignant neoplasms Categories C76-C80 include malignant neoplasms for which there is no clear indication of the original site of the cancer or the cancer is stated to be "disseminated", "scattered" or "spread" without mention of the primary site. In both cases the primary site is considered to be unknown Functional activity 論 類 All neoplasms are classified in this chapter, 若 whether they are functionally active or not. An additional code from Chapter may be used, if desired, to identify functional activity associated 泌 with any neoplasm. For example, C74 E27.5 catecholamine-producing malignant ( )Cushing( ) phaeochromocytoma of adrenal gland should be D35.2 E24.0 coded to C74 with additional code E27.5; basophil adenoma of pituitary gland with Cushing's syndrome should be coded to D35.2 with additional code E Morphology 惡 There are a number of major morphological 鱗 狀 () (histological) groups of malignant neoplasms: carcinomas including squamous (cell) and ( 惡 ) adenocarcinomas; sarcomas; other soft tissue 淋 [ 金 ( )(Hodgkin) 金 tumours including mesotheliomas; lymphomas ( )(non-hodgkin)] (Hodgkin's and non-hodgkin's); leukaemia; other 類 specified and site-specific types; and unspecified cancers. Cancer is a generic term and may be used for any of the above groups, although it is rarely 淋 惡 applied to the malignant neoplasms of lymphatic, (Carcinoma) 不 haematopoietic and related tissue. "Carcinoma" is (Cancer) sometimes used incorrectly as a synonym for "cancer". 166

3 () 類 來 類 數 例 類 類 若 類 參 (*WHO ) 錄 ) (Morphology of Neoplasm) 立 類 (ICD-O) 類 立 六 類 () [ 惡 惡 () 良 惡 良 ] 六 () 淋 In Chapter neoplasms are classified predominantly by site within broad groupings for behaviour. In a few exceptional cases morphology is indicated in the category and subcategory titles. For those wishing to identify the histological type of neoplasm, comprehensive separate morphology codes are provided on pages These morphology codes are derived from the second edition of International Classification of Diseases for Oncology (ICD-O), which is a dual-axis classification providing independent coding systems for topography and morphology. Morphology codes have six digits: the first four digits identify the histological type; the fifth digit is the behaviour code (malignant primary, malignant secondary (metastatic), in situ, benign, uncertain whether malignant or benign); and the sixth digit is a grading code (differentiation) for solid tumours, and is also used as a special code for lymphomas and leukaemias. 4. 類 4. Use of subcategories in Chapter 類 Attention is drawn to the special use of.8( 見 5) subcategory.8 in this chapter[see note 5]. Where it has been necessary to provide subcategories for.7 類 "other", these have generally been designated as subcategory 惡 類.8 ( ) C00-C75 類 來 類 惡 類 類 類 類 類.8 類 ( ) 列 索 不 例 類 C16.0() 類 C Malignant neoplasm overlapping site boundaries and the use of subcategory.8 (overlapping lesion) Categories C00-C75 classify primary malignant neoplasms according to their point of origin. Many three-character categories are further divided into named parts or subcategories of the organ in question. A neoplasm that overlaps two or more contiguous sites within a three-character category and whose point of origin cannot be determined should be classified to the subcategory.8 ("overlapping lesion"), unless the combination is specifically indexed elsewhere. For example, carcinoma of oesophagus and stomach is specifically indexed to C16.0(cardia), while carcinoma of the tip and ventral surface of the tongue should be assigned to C02.8. On the other hand, carcinoma of the tip of the tongue extending to involve the ventral surface should be

4 C02.1 ( ) () 類 連 數 連 不 ( C67.-) 參 來 裡 類 了 了 類 coded to C02.1 as the point of origin, the tip, is known. "Overlapping" implies that the sites involved are contiguous (next to each other). Numerically consecutive subcategories are frequently anatomically contiguous, but this is not invariably so (e.g. bladder C67.-) and the coder may need to consult anatomical texts to determine the topographical relationships. Sometimes a neoplasm overlaps the boundaries of three-character categories within certain systems. To take care of this the following subcategories have been designated: C02.8 C08.8 C14.8 咽 C21.8 ( ) C24.8 C26.8 C39.8 ( ) C41.8 C49.8 C57.8 女 C63.8 C68.8 泌 尿 C72.8 神 例 C26.8 ( ) C02.8 Overlapping lesion of tongue C08.8 Overlapping lesion of major salivary glands C14.8 Overlapping lesion of lip, oral cavity and pharynx C21.8 Overlapping lesion of rectum, anus and anal canal C24.8 Overlapping lesion of biliary tract C26.8 Overlapping lesion of digestive system C39.8 Overlapping lesion of respiratory and intrathoracic organs C41.8 Overlapping lesion of bone and articular cartilage C49.8 Overlapping lesion of connective and soft tissue C57.8 Overlapping lesion of female genital organs C63.8 Overlapping lesion of male genital organs C68.8 Overlapping lesion of urinary organs C72.8 Overlapping lesion of central nervous system An example of this is a carcinoma of the stomach and small intestine, which should be coded to C26.8, (Overlapping lesion of digestive system). 168

5 6. 異 惡 6. Malignant neoplasms of ectopic tissue 異 惡 例 異 惡 類 (C25.9) 類 Malignant neoplasms of ectopic tissue are to be coded to the site mentioned, e.g. ectopic pancreatic malignant neoplasms are coded to pancreas, unspecified (C25.9). 7. 利 索 行 7. Use of the Alphabetical Index in coding neoplasms 類 了 In addition to site, morphology and behaviour must also be taken into consideration when ( )() coding neoplasms, and reference should always 參 索 be made first to the Alphabetical Index entry for the morphological description. 索 類 例 類 類 The introductory pages of Volume 3 include general instructions about the correct use of the Alphabetical Index. The specific instructions and examples pertaining to neoplasms should be consulted to ensure correct use of the categories and subcategories in Chapter. 8. 類 (ICD-O) 8. Use of the second edition of International Classification of Diseases for Oncology (ICD-O) 類 For certain morphological types, chapter provides a rather restricted topographical 類 classification, or none at all. The topography 類 ICD-O codes of ICD-O use for all neoplasms essentially 類 the same three- and four-character categories that 惡 (C00-C77, C80) 類 ICD-O 更 [ 惡 ( ) 良 ] chapter uses for malignant neoplasms (C00-C77, C80), thus providing increased specificity of site for other neoplasms (malignant secondary (metastatic), benign, in situ and uncertain or unknown). ( ) 類 錄 理 ICD-O 類 It is therefore recommended that agencies interested in identifying both the site and morphology of tumours, e.g. cancer registries, cancer hospitals, pathology departments and other agencies specializing in cancer, use ICD-O. 169

6 惡 (C00-C97) Malignant neoplasms (C00-C97) 咽 惡 (C00-C14) Malignant neoplasms of lip, oral cavity and pharynx (C00-C14) C00 惡 (C43.0, C44.0) C00 Malignant neoplasm of lip Excludes: skin of lip (C43.0, C44.0) C00.0 C00.0 External upper lip Upper lip: NOS lipstick area vermilion border C00.1 C00.1 External lower lip Lower lip: NOS lipstick area vermilion border C00.2 C00.2 External lip, unspecified Vermilion border NOS C00.3 C00.3 Upper lip, inner aspect Upper lip: buccal aspect frenulum mucosa oral aspect C00.4 C00.4 Lower lip, inner aspect Lower lip: buccal aspect frenulum mucosa 170

7 oral aspect C00.5 C00.5 Lip, unspecified, inner aspect Lip, not specified whether upper or lower: buccal aspect frenulum mucosa oral aspect C00.6 連 C00.6 Commissure of lip C00.8 C00.8 Overlapping lesion of lip [ 參 167~168 5] [See note 5 on page 167~168] C00.9 C00.9 Lip, unspecified C01 ( ) 惡 C01 Malignant neoplasm of base of tongue Dorsal surface of base of tongue Fixed part of tongue NOS Posterior third of tongue C02 惡 C02 Malignant neoplasm of other and unspecified parts of tongue C02.0 C02.0 Dorsal surface of tongue (C01) Anterior two-thirds of tongue, dorsal surface Excludes: dorsal surface of base of tongue (C01) C02.1 ( ) C02.1 Border of tongue Tip of tongue C02.2 C02.2 Ventral surface of tongue Anterior two-thirds of tongue, ventral surface Frenulum linguae C02.3 C02.3 Anterior two-thirds of tongue, part unspecified Middle third of tongue NOS Mobile part of tongue NOS C02.4 C02.4 Lingual tonsil 171

8 (C09.9) Excludes: tonsil NOS (C09.9) C02.8 C02.8 Overlapping lesion of tongue [ 參 167~168 5] [See note 5 on page 167~168] 惡 類 C01-C02.4 類 Malignant neoplasm of tongue whose point of origin cannot be classified to any one of the categories C01-C02.4 C02.9 C02.9 Tongue, unspecified C03 ( ) 惡 ( ) C03 Malignant neoplasm of gum Includes: alveolar (ridge) mucosa gingiva 惡 (C41.0-C41.1) Excludes: malignant odontogenic neoplasms (C41.0-C41.1) C03.0 ( ) C03.0 Upper gum C03.1 ( ) C03.1 Lower gum C03.9 ( ) C03.9 Gum, unspecified C04 惡 C04 Malignant neoplasm of floor of mouth C04.0 C04.0 Anterior floor of mouth ( ) Anterior to the premolar-canine junction C04.1 C04.1 Lateral floor of mouth C04.8 C04.8 Overlapping lesion of floor of mouth [ 參 167~168 5] [See note 5 on page 167~168] C04.9 C04.9 Floor of mouth, unspecified C05 惡 C05 Malignant neoplasm of palate C05.0 C05.0 Hard palate C05.1 C05.1 Soft palate 咽 (C11.3) Excludes: nasopharyngeal surface of soft palate (C11.3) C05.2 C05.2 Uvula C05.8 C05.8 Overlapping lesion of palate [ 參 167~168 5] [See note 5 on page 167~168] C05.9 C05.9 Palate, unspecified Roof of mouth 172

9 C06 惡 C06 Malignant neoplasm of other and unspecified parts of mouth C06.0 C06.0 Cheek mucosa Buccal mucosa NOS Internal cheek C06.1 C06.1 Vestibule of mouth ( )( ) ( )( ) Buccal sulcus (upper)(lower) Labial sulcus (upper)(lower) C06.2 C06.2 Retromolar area C06.8 C06.8 Overlapping lesion of other and unspecified parts of mouth [ 參 167~1685] [See note 5 on page 167~168] C06.9 C06.9 Mouth, unspecified ( ) Minor salivary gland, unspecified site Oral cavity NOS C07 惡 C07 Malignant neoplasm of parotid gland C08 惡 類 ( ) 惡 C08 Malignant neoplasm of other and unspecified major salivary glands Excludes: malignant neoplasms of specified minor salivary glands which are classified according to their anatomical location ( ) 惡 (C06.9) (C07) malignant neoplasms of minor salivary glands NOS (C06.9) parotid gland (C07) C08.0 ( ) C08.0 Submandibular gland ( ) ( ) Submaxillary gland C08.1 C08.1 Sublingual gland C08.8 C08.8 Overlapping lesion of major salivary glands [ 參 167~168 5] [See note 5 on page 167~168] 173

10 惡 類 C07-C08.1 類 Malignant neoplasm of major salivary glands whose point of origin cannot be classified to any one of the categories C07-C08.1 C08.9 C08.9 Major salivary gland, unspecified ( ) Salivary gland (major) NOS C09 惡 C09 Malignant neoplasm of tonsil (C02.4) Excludes: lingual tonsil (C02.4) 咽 (C11.1) pharyngeal tonsil (C11.1) C09.0 C09.0 Tonsillar fossa C09.1 ( )( ) C09.1 Tonsillar pillar (anterior) (posterior) C09.8 C09.8 Overlapping lesion of tonsil [ 參 167~1685] [See note 5 on page 167~168] C09.9 C09.9 Tonsil, unspecified ( 列 ) Tonsil: NOS 咽 faucial palatine C10 咽 惡 C10 Malignant neoplasm of oropharynx (C09.-) Excludes: tonsil (C09.-) C10.0 ( ) C10.0 Vallecula C10.1 C10.1 Anterior surface of epiglottis 離 () Epiglottis, free border [margin] () (C32.1) Glossoepiglottic fold(s) Excludes: epiglottis (suprahyoid portion) NOS (C32.1) C10.2 咽 C10.2 Lateral wall of oropharynx C10.3 咽 C10.3 Posterior wall of oropharynx C10.4 裂 C10.4 Branchial cleft 裂 [] Branchial cyst [site of neoplasm] C10.8 咽 C10.8 Overlapping lesion of oropharynx [ 參 167~1685] [See note 5 on page 167~168] 咽 連 Junctional region of oropharynx 174

11 C10.9 咽 C10.9 Oropharynx, unspecified C11 咽 惡 C11 Malignant neoplasm of nasopharynx C11.0 咽 C11.0 Superior wall of nasopharynx 咽 Roof of nasopharynx C11.1 咽 C11.1 Posterior wall of nasopharynx Adenoid 咽 Pharyngeal tonsil C11.2 咽 C11.2 Lateral wall of nasopharynx Rosenmüller ( ) Fossa of Rosenmüller 咽 咽 Opening of auditory tube Pharyngeal recess C11.3 咽 C11.3 Anterior wall of nasopharynx 咽 Floor of nasopharynx ( )( ) 咽 Nasopharyngeal (anterior) (posterior) surface of soft palate Posterior margin of nasal: choana septum C11.8 咽 C11.8 Overlapping lesion of nasopharynx [ 參 167~168 5] [See note 5 on page 167~168] C11.9 咽 C11.9 Nasopharynx, unspecified 咽 Nasopharyngeal wall NOS C12 梨 狀 惡 C12 Malignant neoplasm of pyriform sinus 梨 狀 Pyriform fossa C13 咽 惡 C13 Malignant neoplasm of hypopharynx 梨 狀 (C12) Excludes: pyriform sinus (C12) C13.0 狀 () C13.0 Postcricoid region C13.1 狀 咽 C13.1 Aryepiglottic fold, hypopharyngeal aspect 狀 Aryepiglottic fold: NOS 175

12 狀 (C32.1) marginal zone Excludes: aryepiglottic fold, laryngeal aspect (C32.1) C13.2 咽 C13.2 Posterior wall of hypopharynx C13.8 咽 C13.8 Overlapping lesion of hypopharynx [ 參 167~168 5] [See note 5 on page 167~168] C13.9 咽 C13.9 Hypopharynx, unspecified 咽 Hypopharyngeal wall NOS C14 咽 不 惡 (C06.9) C14 Malignant neoplasm of other and ill-defined sites in the lip, oral cavity and pharynx Excludes: oral cavity NOS (C06.9) C14.0 咽 C14.0 Pharynx, unspecified C14.1 咽 C14.1 Laryngopharynx C14.2 Waldeyer ( ) C14.2 Waldeyer's ring C14.8 咽 C14.8 Overlapping lesion of lip, oral cavity and pharynx [ 參 167~168 5] [See note 5 on page 167~168] 咽 惡 類 C00-C14.2 類 Malignant neoplasm of lip, oral cavity and pharynx whose point of origin cannot be classified to any one of the categories C00-C14.2 惡 (C15-C26) Malignant neoplasms of digestive organs (C15-C26) C15 惡 列 兩 類.0-.2 C15 Malignant neoplasm of oesophagus Note: Two alternative subclassifications are given:.0-.2 by anatomical description.3-.5 來 兩 類 離 類 兩 類 類 by thirds This departure from the principle that categories should be mutually exclusive is deliberate, since both forms of terminology are in use but

13 類 列 the resulting anatomical divisions are not analogous. C15.0 C15.0 Cervical part of oesophagus C15.1 C15.1 Thoracic part of oesophagus C15.2 C15.2 Abdominal part of oesophagus C15.3 C15.3 Upper third of oesophagus C15.4 C15.4 Middle third of oesophagus C15.5 C15.5 Lower third of oesophagus C15.8 C15.8 Overlapping lesion of oesophagus [ 參 167~168 5] [See note 5 on page 167~168] C15.9 C15.9 Oesophagus, unspecified C16 惡 C16 Malignant neoplasm of stomach C16.0 ( ) C16.0 Cardia Cardiac orifice 連 連 Cardio-oesophageal junction Gastro-oesophageal junction Oesophagus and stomach C16.1 ( ) C16.1 Fundus of stomach C16.2 ( ) C16.2 Body of stomach C16.3 C16.3 Pyloric antrum Gastric antrum C16.4 ( ) C16.4 Pylorus Prepylorus Pyloric canal C16.5 C16.5 Lesser curvature of stomach, unspecified 類 C16.1-C16.4 類 Lesser curvature of stomach, not classifiable to C16.1-C16.4 C16.6 C16.6 Greater curvature of stomach, unspecified 類 C16.0-C16.4 類 Greater curvature of stomach, not classifiable to C16.0-C16.4 C16.8 C16.8 Overlapping lesion of stomach [ 參 167~168 5] [See note 5 on page 167~168] C16.9 C16.9 Stomach, unspecified 177

14 Gastric cancer NOS C17 惡 C17 Malignant neoplasm of small intestine C17.0 C17.0 Duodenum C17.1 C17.1 Jejunum C17.2 C17.2 Ileum (C18.0) Excludes: ileocaecal valve (C18.0) C17.3 Meckel ( ) C17.3 Meckel's diverticulum C17.8 C17.8 Overlapping lesion of small intestine [ 參 167~168 5] [See note 5 on page 167~168] C17.9 C17.9 Small intestine, unspecified C18 惡 C18 Malignant neoplasm of colon C18.0 C18.0 Caecum Ileocaecal valve C18.1 C18.1 Appendix C18.2 C18.2 Ascending colon C18.3 ( ) C18.3 Hepatic flexure C18.4 C18.4 Transverse colon C18.5 ( ) C18.5 Splenic flexure C18.6 降 C18.6 Descending colon C18.7 狀 C18.7 Sigmoid colon 狀 ( ) 狀 連 (C19) Sigmoid (flexure) Excludes: rectosigmoid junction (C19) C18.8 C18.8 Overlapping lesion of colon [ 參 167~168 5] [See note 5 on page 167~168] C18.9 C18.9 Colon, unspecified Large intestine NOS C19 狀 連 惡 狀 () C19 Malignant neoplasm of rectosigmoid junction Colon with rectum Rectosigmoid (colon) C20 惡 C20 Malignant neoplasm of rectum 178

15 Rectal ampulla C21 ( ) 惡 C21 Malignant neoplasm of anus and anal canal C21.0 C21.0 Anus, unspecified ( ) (C43.5, C44.5) (C43.5, C44.5) ( C43.5, C44.5) Excludes: anal: margin (C43.5, C44.5) skin (C43.5, C44.5) perianal skin (C43.5, C44.5) C21.1 ( ) C21.1 Anal canal Anal sphincter C21.2 C21.2 Cloacogenic zone C21.8 ( ) C21.8 Overlapping lesion of rectum, anus and anal canal [ 參 167~168 5] [See note 5 on page 167~168] 連 ( ) 惡 類 C20-C21.2 類 Anorectal junction Anorectum Malignant neoplasm of rectum, anus and anal canal whose point of origin cannot be classified to any one of the categories C20-C21.2 C22 惡 (C24.9) 惡 (C78.7) C22 Malignant neoplasm of liver and intrahepatic bile ducts Excludes: biliary tract NOS (C24.9) secondary malignant neoplasm of liver (C78.7) C22.0 () C22.0 Liver cell carcinoma () [] Hepatocellular carcinoma Hepatoma C22.1 C22.1 Intrahepatic bile duct carcinoma Cholangiocarcinoma C22.2 C22.2 Hepatoblastoma C22.3 C22.3 Angiosarcoma of liver Kupffer ( ) Kupffer cell sarcoma 179

16 C22.4 C22.4 Other sarcomas of liver C22.7 C22.7 Other specified carcinomas of liver C22.9 C22.9 Liver, unspecified C23 惡 C23 Malignant neoplasm of gallbladder C24 惡 (C22.1) C24 Malignant neoplasm of other and unspecified parts of biliary tract Excludes: intrahepatic bile duct (C22.1) C24.0 C24.0 Extraheatic bile duct Biliary duct or passage NOS Common bile duct Cystic duct Hepatic duct C24.1 Vater ( ) C24.1 Ampulla of Vater C24.8 C24.8 Overlapping lesion of biliary tract [ 參 167~168 5] [See note 5 on page 167~168] () 惡 惡 類 C22.0-C24.1 類 Malignant neoplasm involving both intrahepatic and extrahepatic bile ducts Malignant neoplasm of biliary tract whose point of origin cannot be classified to any one of the categories C22.0-C24.1 C24.9 C24.9 Biliary tract, unspecified C25 惡 C25 Malignant neoplasm of pancreas C25.0 ( ) C25.0 Head of pancreas C25.1 ( ) C25.1 Body of pancreas C25.2 ( ) C25.2 Tail of pancreas C25.3 C25.3 Pancreatic duct C25.4 泌 C25.4 Endocrine pancreas 蘭 (Langerhans)( ) Islets of Langerhans C25.7 C25.7 Other parts of pancreas ( ) Neck of pancreas C25.8 C25.8 Overlapping lesion of pancreas [ 參 167~168 5] [See note 5 on page 167~168] 180

17 C25.9 C25.9 Pancreas, unspecified C26 不 惡 [ ] (C48.-) C26 Malignant neoplasm of other and ill-defined digestive organs Excludes: peritoneum and retroperitoneum (C48.-) C26.0 C26.0 Intestinal tract, part unspecified Intestine NOS C26.1 C26.1 Spleen 金 ( ) (C81.-) 金 ( ) 淋 (C82-C85) Excludes: Hodgkin's disease (C81.-) non-hodgkin's lymphoma (C82-C85) C26.8 C26.8 Overlapping lesion of digestive system [ 參 167~168 5] [See note 5 on page 167~168] 惡 類 C15-C26.1 類 連 (C16.0) Malignant neoplasm of digestive organs whose point of origin cannot be classified to any one of the categories C15-C26.1 Excludes: cardio-oesophageal junction (C16.0) C26.9 不 C26.9 Ill-defined sites within the digestive system Alimentary canal or tract NOS Gastrointestinal tract NOS 惡 (C30-C39) (C45.-) Malignant neoplasms of respiratory and intrathoracic organs (C30-C39) Includes: middle ear Excludes: mesothelioma (C45.-) C30 惡 C30 Malignant neoplasm of nasal cavity and middle ear C30.0 C30.0 Nasal cavity Cartilage of nose Concha, nasal Internal nose Septum of nose 181

18 (C41.0) (C76.0) (C72.2) (C11.3) (C43.3, C44.3) Vestibule of nose Excludes: nasal bone (C41.0) nose NOS (C76.0) olfactory bulb (C72.2) posterior margin of nasal septum and choana (C11.3) skin of nose (C43.3, C44.3) C30.1 C30.1 Middle ear (Eustachian)( ) [ 咽 ] Eustachian tube Inner ear Mastoid air cells ( ) (C43.2, C44.2) Excludes: auricular canal (external)(c43.2, C44.2) ( ) (C41.0) (C49.0) ( ) (C43.2, C44.2) bone of ear (meatus)(c41.0) cartilage of ear (C49.0) skin of (external) ear (C43.2, C44.2) C31 惡 C31 Malignant neoplasm of accessory sinuses C31.0 ( ) C31.0 Maxillary sinus (Highmore ( ))(( )) Antrum (Highmore)(maxillary) C31.1 C31.1 Ethmoidal sinus C31.2 C31.2 Frontal sinus C31.3 C31.3 Sphenoidal sinus C31.8 C31.8 Overlapping lesion of accessory sinuses [ 參 167~168 5] [See note 5 on page 167~168] C31.9 C31.9 Accessory sinus, unspecified C32 惡 C32 Malignant neoplasm of larynx C32.0 C32.0 Glottis ( ) Intrinsic larynx Vocal cord (true) NOS C32.1 C32.1 Supraglottis 狀 Aryepiglottic fold, laryngeal aspect 182

19 ( ) ( ) ( ) ( ) (C10.1) 狀 (C13.1) Epiglottis (suprahyoid portion) NOS Extrinsic larynx False vocal cord Posterior (laryngeal) surface of epiglottis Ventricular bands Excludes: anterior surface of epiglottis (C10.1) aryepiglottic fold: NOS (C13.1) 咽 (C13.1) hypopharyngeal aspect (C13.1) (C13.1) marginal zone (C13.1) C32.2 C32.2 Subglottis C32.3 C32.3 Laryngeal cartilage C32.8 C32.8 Overlapping lesion of larynx [ 參 167~168 5] [See note 5 on page 167~168] C32.9 C32.9 Larynx, unspecified C33 惡 C33 Malignant neoplasm of trachea C34 惡 C34 Malignant neoplasm of bronchus and lung C34.0 C34.0 Main bronchus ( ) ( ) Carina Hilus (of lung) C34.1 葉 C34.1 Upper lobe, bronchus or lung C34.2 葉 C34.2 Middle lobe, bronchus or lung C34.3 葉 C34.3 Lower lobe, bronchus or lung C34.8 C34.8 Overlapping lesion of bronchus and lung [ 參 167~168 5] [See note 5 on page 167~168] C34.9 C34.9 Bronchus or lung, unspecified C37 惡 C37 Malignant neoplasm of thymus C38 ( 肋 ) 惡 C38 Malignant neoplasm of heart, mediastinum and pleura 183

20 (C45.-) Excludes: mesothelioma (C45.-) C38.0 C38.0 Heart (C49.3) Pericardium Excludes: great vessels (C49.3) C38.1 C38.1 Anterior mediastinum C38.2 C38.2 Posterior mediastinum C38.3 C38.3 Mediastinum, part unspecified C38.4 ( 肋 ) C38.4 Pleura C38.8 ( 肋 ) C38.8 Overlapping lesion of heart, mediastinum and pleura [ 參 167~168 5] [See note 5 on page 167~168] C39 ( ) 不 惡 ( ) (C76.1) ( ) (C76.1) C39 Malignant neoplasm of other and ill-defined sites in the respiratory system and intrathoracic organs Excludes: intrathoracic NOS (C76.1) thoracic NOS (C76.1) C39.0 C39.0 Upper respiratory tract, part unspecified C39.8 ( ) C39.8 Overlapping lesion of respiratory and intrathoracic organs [ 參 167~168 5] [See note 5 on page 167~168] ( ) 惡 類 C30-C39.0 類 Malignant neoplasm of respiratory and intrathoracic organs whose point of origin cannot be classified to any one of the categories C30-C39.0 C39.9 不 C39.9 Ill-defined sites within the respiratory system Respiratory tract NOS 惡 (C40-C41) (C96.7) 滑 ( ) (C49.-) Malignant neoplasms of bone and articular cartilage (C40-C41) Excludes: bone marrow NOS (C96.7) synovia (C49.-) C40 惡 184 C40 Malignant neoplasm of bone and articular cartilage of limbs

21 C40.0 C40.0 Scapula and long bones of upper limb C40.1 C40.1 Short bones of upper limb C40.2 C40.2 Long bones of lower limb C40.3 C40.3 Short bones of lower limb C40.8 C40.8 Overlapping lesion of bone and articular cartilage of limbs [ 參 167~168 5] [See note 5 on page 167~168] C40.9 C40.9 Bone and articular cartilage of limb, unspecified C41 惡 (C40.-) 列 C41 Malignant neoplasm of bone and articular cartilage of other and unspecified sites Excludes: bones of limbs (C40.-) cartilage of (C49.0) ear (C49.0) (C32.3) larynx (C32.3) (C40.-) limbs (C40.-) (C30.0) nose (C30.0) C41.0 C41.0 Bones of skull and face ( ) ( ) ( ) 列 類 ( )( ) (C31.0) ( ) (C03.0) ( ) ( ) (C41.1) Maxilla (superior) Orbital bone Excludes: carcinoma, any type except intraosseous or odontogenic of: maxillary (sinus) (C31.0) upper jaw (C03.0) jaw bone (lower)(c41.1) C41.1 ( ) C41.1 Mandible ( ) 列 類 ( ) (C03.9) () (C03.1) ( ) (C41.0) Lower jaw bone Excludes: carcinoma, any type except intraosseous or odontogenic of: jaw NOS (C03.9) lower (C03.1) upper jaw bone (C41.0) 185

22 C41.2 ( ) C41.2 Vertebral column (C41.4) Excludes: sacrum and coccyx (C41.4) C41.3 肋 C41.3 Ribs, sternum and clavicle C41.4 ( ) C41.4 Pelvic bones, sacrum and coccyx C41.8 C41.8 Overlapping lesion of bone and articular cartilage [ 參 167~168 5] [See note 5 on page 167~168] 惡 類 C40-C41.4 類 Malignant neoplasm of bone and articular cartilage whose point of origin cannot be classified to any one of the categories C40-C41.4 C41.9 C41.9 Bone and articular cartilage, unspecified 惡 (C43-C44) Melanoma and other malignant neoplasms of skin (C43-C44) C43 惡 M872-M879 ( )() /3 惡 (C51-C52, C60.-, C63.-) C43 Malignant melanoma of skin Includes: morphology codes M872-M879 with behaviour code /3 Excludes: malignant melanoma of skin of genital organs (C51-C52, C60.-, C63.-) C43.0 惡 C43.0 Malignant melanoma of lip (C00.0-C00.2) Excludes: vermilion border of lip (C00.0-C00.2) C43.1 惡 C43.1 Malignant melanoma of eyelid, including canthus C43.2 惡 C43.2 Malignant melanoma of ear and external auricular canal C43.3 惡 C43.3 Malignant melanoma of other and unspecified parts of face C43.4 惡 C43.4 Malignant melanoma of scalp and neck C43.5 惡 C43.5 Malignant melanoma of trunk 186

23 ( ) (C21.0) Anal: margin skin Perianal skin Skin of breast Excludes: anus NOS (C21.0) C43.6 惡 C43.6 Malignant melanoma of upper limb, including shoulder C43.7 惡 C43.7 Malignant melanoma of lower limb, including hip C43.8 惡 C43.8 Overlapping malignant melanoma of skin [ 參 167~168 5] [See note 5 on page 167~168] C43.9 惡 C43.9 Malignant melanoma of skin, unspecified ( 惡 ) Melanoma (malignant) NOS C44 惡 列 惡 ( ) (C46.-) 惡 (C43.-) C44 Other malignant neoplasm of skin Includes: malignant neoplasm of: sebaceous glands sweat glands Excludes: Kaposi's sarcoma (C46.-) malignant melanoma of skin (C43.-) (C51-C52, skin of genital organs (C51-C52, C60.-, C63.-) C60.-, C63.-) C44.0 C44.0 Skin of lip () Basal cell carcinoma of lip 惡 (C00.-) Excludes: malignant neoplasm of lip (C00.-) C44.1 C44.1 Skin of eyelid, including canthus (C49.0) Excludes: connective tissue of eyelid (C49.0) C44.2 C44.2 Skin of ear and external auricular canal (C49.0) Excludes : connective tissue of ear (C49.0) C44.3 C44.3 Skin of other and unspecified parts of face C44.4 C44.4 Skin of scalp and neck C44.5 C44.5 Skin of trunk ( ) Anal: 187

24 (C21.0) margin skin Perianal skin Skin of breast Excludes: anus NOS (C21.0) C44.6 C44.6 Skin of upper limb, including shoulder C44.7 C44.7 Skin of lower limb, including hip C44.8 C44.8 Overlapping lesion of skin [ 參 167~168 5] [See note 5 on page 167~168] C44.9 惡 C44.9 Malignant neoplasm of skin, unspecified 惡 (C45-C49) Malignant neoplasms of mesothelial and soft tissue (C45-C49) C45 M905 () () /3 C45 Mesothelioma Includes: morphology code M905 with behaviour code /3 C45.0 ( 肋 ) C45.0 Mesothelioma of pleura ( 肋 ) 惡 (C38.4) Excludes: other malignant neoplasms of pleura (C38.4) C45.1 C45.1 Mesothelioma of peritoneum ( ) ( )() 惡 (C48.-) Mesentery Mesocolon Omentum Peritoneum (parietal)(pelvic) Excludes: other malignant neoplasms of peritoneum (C48.-) C45.2 C45.2 Mesothelioma of pericardium 惡 (C38.0) Excludes: other malignant neoplasms of pericardium (C38.0) C45.7 C45.7 Mesothelioma of other sites C45.9 C45.9 Mesothelioma, unspecified 188

25 C46 (Kaposi)( ) M9140 () () /3 C46 Kaposi's sarcoma Includes: morphology code M9140 with behaviour code /3 C46.0 (Kaposi)( ) C46.0 Kaposi's sarcoma of skin C46.1 (Kaposi)( ) C46.1 Kaposi's sarcoma of soft tissue C46.2 (Kaposi)( ) C46.2 Kaposi's sarcoma of palate C46.3 淋 (Kaposi)( ) C46.3 Kaposi's sarcoma of lymph nodes C46.7 (Kaposi)( ) C46.7 Kaposi's sarcoma of other sites C46.8 ( ) (Kaposi)( ) C46.8 Kaposi's sarcoma of multiple organs C46.9 (Kaposi)( ) C46.9 Kaposi's sarcoma, unspecified C47 神 神 惡 神 神 C47 Malignant neoplasm of peripheral nerves and autonomic nervous system Includes: sympathetic and parasympathetic nerves and ganglia C47.0 神 C47.0 Peripheral nerves of head, face and neck 神 (C69.6) Excludes: peripheral nerves of orbit (C69.6) C47.1 神 ( ) C47.1 Peripheral nerves of upper limb, including shoulder C47.2 神 ( ) C47.2 Peripheral nerves of lower limb, including hip C47.3 ( ) 神 C47.3 Peripheral nerves of thorax C47.4 ( ) 神 C47.4 Peripheral nerves of abdomen C47.5 ( ) 神 C47.5 Peripheral nerves of pelvis C47.6 神 C47.6 Peripheral nerves of trunk, unspecified C47.8 神 神 C47.8 Overlapping lesion of peripheral nerves and autonomic nervous system [ 參 167~168 5] [See note 5 on page 167~168] C47.9 神 神 C47.9 Peripheral nerves and autonomic nervous system, unspecified C48 [ ] 惡 (Kaposi)( ) (C46.1) (C45.-) C48 Malignant neoplasm of retroperitoneum and peritoneum Excludes: Kaposi's sarcoma (C46.1) mesothelioma (C45.-) 189

26 C48.0 [ ] C48.0 Retroperitoneum C48.1 C48.1 Specified parts of peritoneum ( ) Mesentery Mesocolon Omentum ( 列 ) Peritoneum ( ) parietal pelvic C48.2 C48.2 Peritoneum, unspecified C48.8 [ ] C48.8 Overlapping lesion of retroperitoneum and peritoneum [ 參 167~168 5] [See note 5 on page 167~168] C49 惡 淋 滑 ( ) ( ) C49 Malignant neoplasm of other connective and soft tissue Includes: blood vessel bursa cartilage fascia fat ligament, except uterine lymphatic vessel muscle synovia tendon(sheath) ( 列 ) Excludes: cartilage (of): (C40-C41) articular (C40-C41) (C32.3) larynx (C32.3) (C30.0) nose (C30.0) (C50.-) (Kaposi)( ) (C46. -) (C45.-) 神 神 (C47.-) 190 connective tissue of breast (C50.-) Kaposi's sarcoma (C46.-) mesothelioma (C45.-) peripheral nerves and autonomic nervous system (C47.-)

27 (C48.-) [ ] (C48.0) peritoneum(c48.-) retroperitoneum(c48.0) C49.0 C49.0 Connective and soft tissue of head, face and neck 列 Connective tissue of : ear (C69.6) eyelid Excludes: connective tissue of orbit (C69.6) C49.1 ( ) C49.1 Connective and soft tissue of upper limb, including shoulder C49.2 ( ) C49.2 Connective and soft tissue of lower limb, including hip C49.3 ( ) C49.3 Connective and soft tissue of thorax Axilla (C50.-) (C38.0) (C38.1-C38.3) (C37) Diaphragm Great vessels Excludes: breast (C50.-) heart (C38.0) mediastinum (C38.1-C38.3) thymus (C37) C49.4 ( ) C49.4 Connective and soft tissue of abdomen Abdominal wall 肋 Hypochondrium C49.5 ( ) C49.5 Connective and soft tissue of pelvis Buttock Groin Perineum C49.6 C49.6 Connective and soft tissue of trunk, unspecified ( ) Back NOS C49.8 C49.8 Overlapping lesion of connective and soft tissue 191

28 [ 參 167~168 5] [See note 5 on page 167~168] 惡 類 C47-C49.6 類 Malignant neoplasm of connective and soft tissue whose point of origin cannot be classified to any one of the categories C47-C49.6 C49.9 C49.9 Connective and soft tissue, unspecified 惡 (C50) Malignant neoplasm of breast (C50) C50 惡 (C43.5, C44.5) C50 Malignant neoplasm of breast Includes: connective tissue of breast Excludes: skin of breast (C43.5, C44.5) C50.0 暈 C50.0 Nipple and areola C50.1 C50.1 Central portion of breast C50.2 C50.2 Upper-inner quadrant of breast C50.3 C50.3 Lower-inner quadrant of breast C50.4 C50.4 Upper-outer quadrant of breast C50.5 C50.5 Lower-outer quadrant of breast C50.6 C50.6 Axillary tail of breast C50.8 C50.8 Overlapping lesion of breast [ 參 167~168 5] [See note 5 on page 167~168] C50.9 C50.9 Breast, unspecified 女 惡 (C51-C58) 女 Malignant neoplasms of female genital organs (C51-C58) Includes: skin of female genital organs C51 惡 C51 Malignant neoplasm of vulva C51.0 C51.0 Labium majus Bartholin ( )[ ] Bartholin's [greater vestibular] gland C51.1 C51.1 Labium minus C51.2 C51.2 Clitoris C51.8 C51.8 Overlapping lesion of vulva [ 參 167~168 5] [See note 5 on page 167~168] C51.9 C51.9 Vulva, unspecified 192

29 女 External female genitalia NOS Pudendum C52 惡 C52 Malignant neoplasm of vagina C53 惡 C53 Malignant neoplasm of cervix uteri C53.0 C53.0 Endocervix C53.1 C53.1 Exocervix C53.8 C53.8 Overlapping lesion of cervix uteri [ 參 167~168 5] [See note 5 on page 167~168] C53.9 C53.9 Cervix uteri, unspecified C54 惡 C54 Malignant neoplasm of corpus uteri C54.0 C54.0 Isthmus uteri Lower uterine segment C54.1 C54.1 Endometrium C54.2 C54.2 Myometrium C54.3 C54.3 Fundus uteri C54.8 C54.8 Overlapping lesion of corpus uteri [ 參 167~168 5] [See note 5 on page 167~168] C54.9 C54.9 Corpus uteri, unspecified C55 惡 C55 Malignant neoplasm of uterus, part unspecified C56 卵 惡 C56 Malignant neoplasm of ovary C57 女 惡 C57 Malignant neoplasm of other and unspecified female genital organs C57.0 卵 C57.0 Fallopian tube 卵 Oviduct Uterine tube C57.1 C57.1 Broad ligament C57.2 C57.2 Round ligament C57.3 C57.3 Parametrium 193 Uterine ligament NOS

30 C57.4 C57.4 Uterine adnexa, unspecified C57.7 女 C57.7 Other specified female genital organs Wolffian ( ) Wolffian body or duct C57.8 女 C57.8 Overlapping lesion of female genital organs [ 參 167~168 5] [See note 5 on page 167~168] 女 惡 類 C51-C57.7 C58 類 卵 卵 卵 Malignant neoplasm of female genital organs whose point of origin cannot be classified to any one of the categories C51-C57.7, C58 Tubo-ovarian Utero-ovarian C57.9 女 C57.9 Female genital organ, unspecified 女 泌 尿 Female genitourinary tract NOS C58 惡 ( ) (D39.2) C58 Malignant neoplasm of placenta Choriocarcinoma NOS Chorionepithelioma NOS Excludes: chorioadenoma (destruens) (D39.2) ( 列 ) hydatidiform mole: (O01.9) (D39.2) NOS (O01.9) invasive (D39.2) 惡 (D39.2) malignant (D39.2) 惡 (C60-C63) Malignant neoplasms of male genital organs (C60-C63) Includes: skin of male genital organs C60 惡 C60 Malignant neoplasm of penis C60.0 C60.0 Prepuce Foreskin C60.1 C60.1 Glans penis C60.2 C60.2 Body of penis Corpus cavernosum C60.8 C60.8 Overlapping lesion of penis 194

31 [ 參 167~168 5] [See note 5 on page 167~168] C60.9 C60.9 Penis, unspecified Skin of penis NOS C61 列 [ ] 惡 C61 Malignant neoplasm of prostate C62 惡 C62 Malignant neoplasm of testis C62.0 降 [] C62.0 Undescended testis 異 [] [] Ectopic testis [site of neoplasm] Retained testis [site of neoplasm] C62.1 沈 降 C62.1 Descended testis Scrotal testis C62.9 C62.9 Testis, unspecified C63 惡 C63 Malignant neoplasm of other and unspecified male genital organs C63.0 C63.0 Epididymis C63.1 精 索 C63.1 Spermatic cord C63.2 C63.2 Scrotum Skin of scrotum C63.7 C63.7 Other specified male genital organs 精 Seminal vesicle Tunica vaginalis C63.8 C63.8 Overlapping lesion of male genital organs [ 參 167~168 5] [See note 5 on page 167~168] 惡 類 C60-C63.7 類 Malignant neoplasm of male genital organs whose point of origin cannot be classified to any one of the categories C60-C63.7 C63.9 C63.9 Male genital organ, unspecified 泌 尿 Male genitourinary tract NOS 泌 尿 惡 (C64-C68) Malignant neoplasms of urinary tract (C64-C68) 195

32 C64 惡 ( ) ( ) (C65) ( ) (C65) C64 Malignant neoplasm of kidney, except renal pelvis Excludes: renal: calyces (C65) pelvis (C65) C65 惡 尿 連 C65 Malignant neoplasm of renal pelvis Pelviureteric junction Renal calyces C66 尿 惡 尿 (C67.6) C66 Malignant neoplasm of ureter Excludes: ureteric orifice of bladder (C67.6) C67 惡 C67 Malignant neoplasm of bladder C67.0 C67.0 Trigone of bladder C67.1 C67.1 Dome of bladder C67.2 C67.2 Lateral wall of bladder C67.3 C67.3 Anterior wall of bladder C67.4 C67.4 Posterior wall of bladder C67.5 C67.5 Bladder neck 尿 Internal urethral orifice C67.6 尿 C67.6 Ureteric orifice C67.7 尿 C67.7 Urachus C67.8 C67.8 Overlapping lesion of bladder [ 參 167~168 5] [See note 5 on page 167~168] C67.9 C67.9 Bladder, unspecified C68 泌 尿 惡 C68 Malignant neoplasm of other and unspecified urinary organs 泌 尿 Excludes genitourinary tract NOS : 女 (C57.9) female (C57.9) (C63.9) male (C63.9) C68.0 尿 C68.0 Urethra 尿 (C67.5) Excludes: urethral orifice of bladder (C67.5) C68.1 尿 C68.1 Paraurethral gland 196

33 C68.8 泌 尿 C68.8 Overlapping lesion of urinary organs [ 參 167~168 5] [See note 5 on page 167~168] 泌 尿 惡 類 C64-C68.1 類 Malignant neoplasm of urinary organs whose point of origin cannot be classified to any one of the categories C64-C68.1 C68.9 泌 尿 C68.9 Urinary organ, unspecified 泌 尿 Urinary system NOS 惡 (C69-C72) Malignant neoplasms of eye, brain and other parts of central nervous system (C69-C72) C69 惡 (C49.0) () (C43.1, C44.1) 神 (C72.3) C69 Malignant neoplasm of eye and adnexa Excludes: connective tissue of eyelid (C49.0) eyelid (skin) (C43.1, C44.1) optic nerve (C72.3) C69.0 C69.0 Conjunctiva C69.1 C69.1 Cornea C69.2 C69.2 Retina C69.3 C69.3 Choroid C69.4 狀 C69.4 Ciliary body Eyeball C69.5 淚 淚 C69.5 Lacrimal gland and duct 淚 淚 Lacrimal sac Nasolacrimal duct C69.6 C69.6 Orbit 神 ( ) (C41.0) Connective tissue of orbit Extraocular muscle Peripheral nerves of orbit Retrobulbar tissue Retro-ocular tissue Excludes: orbital bone (C41.0) C69.8 C69.8 Overlapping lesion of eye and adnexa [ 參 167~168 5] [See note 5 on page 167~168] C69.9 C69.9 Eye, unspecified 197

34 C70 () 惡 C70 Malignant neoplasm of meninges C70.0 ( ) C70.0 Cerebral meninges C70.1 C70.1 Spinal meninges C70.9 () C70.9 Meninges, unspecified C71 惡 ( ) 神 (C72.2-C72.5) (C69.6) C71 Malignant neoplasm of brain Excludes: cranial nerves (C72.2-C72.5) retrobulbar tissue (C69.6) C71.0 葉 C71.0 Cerebrum, except lobes and ventricles Corpus callosum Supratentorial NOS C71.1 葉 C71.1 Frontal lobe C71.2 葉 C71.2 Temporal lobe C71.3 葉 C71.3 Parietal lobe C71.4 葉 C71.4 Occipital lobe C71.5 C71.5 Cerebral ventricle IV (C71.7) Excludes: fourth ventricle (C71.7) C71.6 C71.6 Cerebellum C71.7 C71.7 Brain stem IV Fourth ventricle Infratentorial NOS C71.8 C71.8 Overlapping lesion of brain [ 參 167~168 5] [See note 5 on page 167~168] C71.9 C71.9 Brain, unspecified C72 ( ) 神 神 惡 (C70.-) 神 神 (C47.-) C72 Malignant neoplasm of spinal cord, cranial nerves and other parts of central nervous system Excludes: meninges (C70.-) peripheral nerves and autonomic nervous system (C47.-) C72.0 C72.0 Spinal cord C72.1 C72.1 Cauda equina C72.2 神 C72.2 Olfactory nerve 198

35 Olfactory bulb C72.3 神 C72.3 Optic nerve C72.4 神 C72.4 Acoustic nerve C72.5 ( ) 神 C72.5 Other and unspecified cranial nerves ( ) 神 C72.8 神 Cranial nerve NOS C72.8 Overlapping lesion of brain and other parts of central nervous system [ 參 167~168 5] [See note 5 on page 167~168] 神 惡 類 C70-C72.5 類 Malignant neoplasm of brain and other parts of central nervous system whose point of origin cannot be classified to any one of the categories C70-C72.5 C72.9 神 C72.9 Central nervous system, unspecified 神 Nervous system NOS 狀 泌 惡 (C73-C75) Malignant neoplasms of thyroid and other endocrine glands (C73-C75) C73 狀 惡 C73 Malignant neoplasm of thyroid gland C74 惡 C74 Malignant neoplasm of adrenal gland C74.0 C74.0 Cortex of adrenal gland C74.1 C74.1 Medulla of adrenal gland C74.9 C74.9 Adrenal gland, unspecified C75 泌 惡 (C74.-) 泌 (C25.4) 卵 (C56) (C62.-) (C37) 狀 (C73) C75 Malignant neoplasm of other endocrine glands and related structures Excludes: adrenal gland (C74.-) endocrine pancreas (C25.4) ovary (C56) testis (C62.-) thymus (C37) thyroid gland (C73) 199

36 C75.0 狀 C75.0 Parathyroid gland C75.1 C75.1 Pituitary gland C75.2 咽 C75.2 Craniopharyngeal duct C75.3 C75.3 Pineal gland C75.4 C75.4 Carotid body C75.5 神 C75.5 Aortic body and other paraganglia C75.8 ( ) C75.8 Pluriglandular involvement, unspecified 若 ( ) Note: If the sites of multiple involvement are known, they should be coded separately. C75.9 泌 C75.9 Endocrine gland, unspecified 不 惡 (C76-C80) Malignant neoplasms of ill-defined, secondary and unspecified sites (C76-C80) C76 不 惡 ( 列 ) 惡 泌 尿 C76 Malignant neoplasm of other and ill-defined sites Excludes: malignant neoplasm of: genitourinary tract NOS: 女 (C57.9) female (C57.9) (C63.9) male ( C63.9) 淋 (C81-C96) (C80) lymphoid, haematopoietic and related tissue (C81-C96) unspecified site (C80) C76.0 ( ) ( ) C76.0 Head, face and neck Cheek NOS Nose NOS C76.1 ( 廓 )( ) C76.1 Thorax ( ) Axilla NOS Intrathoracic NOS ( 廓 )( ) Thoracic NOS C76.2 ( ) C76.2 Abdomen C76.3 ( ) C76.3 Pelvis 200

37 [ ] ( ) 不 () () Groin NOS Sites overlapping systems within the pelvis, such as: rectovaginal (septum) rectovesical (septum) C76.4 C76.4 Upper limb C76.5 C76.5 Lower limb C76.7 不 C76.7 Other ill-defined sites C76.8 不 C76.8 Overlapping lesion of other and ill-defined sites [ 參 167~168 5] [See note 5 on page 167~168] C77 淋 惡 淋 惡 (C81-C88, C96.-) C77 Secondary and unspecified malignant neoplasm of lymph nodes Excludes: malignant neoplasm of lymph nodes, specified as primary (C81-C88, C96.-) C77.0 ( ) ( ) 淋 C77.0 Lymph nodes of head, face and neck 淋 Supraclavicular lymph nodes C77.1 ( ) 淋 C77.1 Intrathoracic lymph nodes C77.2 ( ) 淋 C77.2 Intra-abdominal lymph nodes C77.3 淋 C77.3 Axillary and upper limb lymph nodes 淋 Pectoral lymph nodes C77.4 [ ] 淋 C77.4 Inguinal and lower limb lymph nodes C77.5 ( ) 淋 C77.5 Intrapelvic lymph nodes C77.8 () 淋 C77.8 Lymph nodes of multiple regions C77.9 淋 C77.9 Lymph node, unspecified C78 惡 C78 Secondary malignant neoplasm of respiratory and digestive organs C78.0 惡 C78.0 Secondary malignant neoplasm of lung C78.1 ( ) 惡 C78.1 Secondary malignant neoplasm of mediastinum C78.2 ( 肋 ) 惡 C78.2 Secondary malignant neoplasm of pleura 201

38 C78.3 惡 C78.3 Secondary malignant neoplasm of other and unspecified respiratory organs C78.4 惡 C78.4 Secondary malignant neoplasm of small intestine C78.5 惡 C78.5 Secondary malignant neoplasm of large intestine and rectum C78.6 [ ] 惡 惡 C78.6 Secondary malignant neoplasm of retroperitoneum and peritoneum Malignant ascites NOS C78.7 惡 C78.7 Secondary malignant neoplasm of liver C78.8 惡 C78.8 Secondary malignant neoplasm of other and unspecified digestive organs C7 9 惡 C79 Secondary malignant neoplasm of other sites C79.0 惡 C79.0 Secondary malignant neoplasm of kidney and renal pelvis C79.1 泌 尿 惡 C79.1 Secondary malignant neoplasm of bladder and other and unspecified urinary organs C79.2 惡 C79.2 Secondary malignant neoplasm of skin C79.3 惡 C79.3 Secondary malignant neoplasm of brain and cerebral meninges C79.4 神 惡 C79.4 Secondary malignant neoplasm of other and unspecified parts of nervous system C79.5 惡 C79.5 Secondary malignant neoplasm of bone and bone marrow C79.6 卵 惡 C79.6 Secondary malignant neoplasm of ovary C79.7 惡 C79.7 Secondary malignant neoplasm of adrenal gland C79.8 惡 C79.8 Secondary malignant neoplasm of other specified sites C80 惡 C80 Malignant neoplasm without specification of site 202

39 Cancer Carcinoma ( ) ( ) Carcinomatosis Generalized: ( ) cancer 惡 malignancy unspecified site (primary) (secondary) 惡 惡 惡 Malignancy Multiple cancer Malignant cachexia Primary site unknown 淋 惡 (C81-C96) C82-C85 類 金 ( ) 淋 () 來 類 (Working Formulation) 類 類 () 列 列 (Tabular List) 索 (Alphabetical Index) 兩 M959-M994 () /3 淋 (C77.-) Malignant neoplasms of lymphoid, haematopoietic and related tissue (C81-C96) Note: The terms used in categories C82-C85 for non-hodgkin's lymphomas are those of the Working Formulation, which attempted to find common ground among several major classification schemes. The terms used in these schemes are not given in the Tabular List but appear in the Alphabetical Index; exact equivalence with the terms appearing in the Tabular List is not always possible. Includes: morphology codes M959-M994 with behaviour code /3 Excludes: secondary and unspecified neoplasm of lymph nodes (C77.-) C81 金 ( ) M965-M966 ( )() /3 C81 Hodgkin's disease Includes: morphology codes M965-M966 with behaviour code /3 C81.0 淋 C81.0 Lymphocytic predominance 淋 Lymphocytic-histiocytic predominance C81.1 ( ) C81.1 Nodular sclerosis C81.2 C81.2 Mixed cellularity 203

40 C81.3 淋 C81.3 Lymphocytic depletion C81.7 金 ( ) C81.7 Other Hodgkin's disease C81.9 金 ( ) C81.9 Hodgkin's disease, unspecified C82 濾 [ ] 金 ( ) 淋 ( )( ) 濾 金 ( ) 淋 M969 () () /3 C82 Follicular [nodular] non-hodgkin's lymphoma Includes: follicular non-hodgkin's lymphoma with or without diffuse areas morphology code M969 with behaviour code /3 C82.0 裂 濾 C82.0 Small cleaved cell, follicular C82.1 裂 濾 C82.1 Mixed small cleaved and large cell, follicular C82.2 濾 C82.2 Large cell, follicular C82.7 濾 金 ( ) 淋 類 C82.9 濾 金 ( ) 淋 金 ( ) 淋 C82.7 Other types of follicular non-hodgkin's lymphoma C82.9 Follicular non-hodgkin's lymphoma, unspecified Nodular non-hodgkin's lymphoma NOS C83 金 ( ) 淋 M9593 M9595 M967-M968 ()() C83 Diffuse non-hodgkin's lymphoma Includes: morphology codes M9593, M9595, M967- M968 with behaviour code /3 /3 C83.0 ( ) C83.0 Small cell (diffuse) C83.1 裂 ( ) C83.1 Small cleaved cell (diffuse) C83.2 ( ) C83.2 Mixed small and large cell (diffuse) C83.3 ( ) C83.3 Large cell (diffuse) 狀 Reticulum cell sarcoma C83.4 ( ) C83.4 Immunoblastic (diffuse) C83.5 淋 ( ) C83.5 Lymphoblastic (diffuse) C83.6 ( ) C83.6 Undifferentiated (diffuse) 204

41 C83.7 Burkitt ( ) C83.7 Burkitt's tumour C83.8 金 ( ) 淋 類 C83.9 金 ( ) 淋 C83.8 Other types of diffuse non-hodgkin's lymphoma C83.9 Diffuse non-hodgkin's lymphoma, unspecified C84 淋 C84 Peripheral and cutaneous T-cell lymphomas M970 () () /3 Includes: morphology code M970 with behaviour code /3 C84.0 淋 C84.0 Mycosis fungoides C84.1 Sézary( ) C84.1 Sézary's disease C84.2 淋 C84.2 T-zone lymphoma C84.3 淋 狀 淋 C84.3 Lymphoepithelioid lymphoma Lennert ( ) 淋 Lennert's lymphoma C84.4 淋 C84.4 Peripheral T-cell lymphoma C84.5 淋 C84.5 Other and unspecified T-cell lymphomas 若 淋 ( ) 淋 類 Note: If T-cell lineage or involvement is mentioned in conjunction with a specific lymphoma, code to the more specific description. C85 金 ( ) 淋 類 M9590-M9592 M9594 M971 () () /3 C85 Other and unspecified types of non-hodgkin's lymphoma Includes: morphology codes M9590-M9592, M9594, M971 with behaviour code /3 C85.0 淋 C85.0 Lymphosarcoma C85.1 B 淋 C85.1 B-cell lymphoma, unspecified 若 淋 Note: If B-cell lineage or involvement is ( ) 淋 mentioned in conjunction with a 類 specific lymphoma, code to the more specific description. 205

42 C85.7 金 ( ) 淋 類 C85.7 Other specified types of non-hodgkin's lymphoma ( 列 ) 惡 Malignant: 狀 reticuloendotheliosis 狀 reticulosis 神 Microglioma C85.9 金 ( ) 淋 類 C85.9 Non-Hodgkin's lymphoma, unspecified type 淋 Lymphoma NOS 惡 淋 金 ( ) 淋 Malignant lymphoma NOS Non-Hodgkin's lymphoma NOS C88 惡 M976 () () /3 C88 Malignant immunoproliferative diseases Includes: morphology code M976 with behaviour code /3 C88.0 Waldenström ( ) C88.0 Waldenström's macroglobulinaemia C88.1 (α 鍊 C88.1 Alpha heavy chain disease C88.2 (γ 鍊 C88.2 Gamma heavy chain disease Franklin ( ) Franklin's disease C88.3 C88.3 Immunoproliferative small intestinal disease 淋 Mediterranean lymphoma C88.7 惡 C88.7 Other malignant immunoproliferative diseases C88.9 惡 C88.9 Malignant immunoproliferative disease, unspecified Immunoproliferative disease NOS C90 惡 M973 M9830 ( )() /3 C90 Multiple myeloma and malignant plasma cell neoplasms Includes: morphology codes M973, M 9830 with behaviour code /3 206

43 C90.0 C90.0 Multiple myeloma Kahler ( ) Kahler's disease (C90.2) Myelomatosis Excludes: solitary myeloma (C90.2) C90.1 C90.1 Plasma cell leukaemia C90.2 C90.2 Plasmacytoma, extramedullary 惡 Marlignant plasma cell tumour NOS Plasmacytoma NOS Solitary myeloma C91 淋 C91 Lymphoid leukaemia M982 M9940-M9941 ()() /3 Includes: morphology codes M982, M9940-M9941 with behaviour code /3 C91.0 淋 C91.0 Acute lymphoblastic leukaemia 淋 惡 (C91.1) Excludes: acute exacerbation of chronic lymphocytic leukaemia (C91.1) C91.1 淋 C91.1 Chronic lymphocytic leukaemia C91.2 淋 C91.2 Subacute lymphocytic leukaemia C91.3 淋 C91.3 Prolymphocytic leukaemia C91.4 ( ) 狀 C91.4 Hairy-cell leukaemia 狀 Leukaemic reticuloendotheliosis C91.5 C91.5 Adult T-cell leukaemia C91.7 淋 C91.7 Other lymphoid leukaemia C91.9 淋 C91.9 Lymphoid leukaemia, unspecified C92 ( 列 ) C92 Myeloid leukaemia Includes: leukaemia: 粒 granulocytic myelogenous 207

44 M986-M988 M9930 ()() /3 morphology codes M986-M988, M9930 with behaviour code /3 C92.0 C92.0 Acute myeloid leukaemia 惡 (C92.1) Excludes: acute exacerbation of chronic myeloid leukaemia (C92.1) C92.1 C92.1 Chronic myeloid leukaemia C92.2 C92.2 Subacute myeloid leukaemia C92.3 C92.3 Myeloid sarcoma 綠 粒 Chloroma Granulocytic sarcoma C92.4 C92.4 Acute promyelocytic leukaemia C92.5 C92.5 Acute myelomonocytic leukaemia C92.7 C92.7 Other myeloid leukaemia C92.9 C92.9 Myeloid leukaemia, unspecified C93 M989 () () /3 C93 Monocytic leukaemia Includes: monocytoid leukaemia morphology code M989 with behaviour code /3 C93.0 C93.0 Acute monocytic leukaemia 惡 (C93.1) Excludes: acute exacerbation of chronic monocytic leukaemia (C93.1) C93.1 C93.1 Chronic monocytic leukaemia C93.2 C93.2 Subacute monocytic leukaemia C93.7 C93.7 Other monocytic leukaemia C93.9 C93.9 Monocytic leukaemia, unspecified C94 類 M984 M9850 M9900 M9910 M9931-M9932 C94 Other leukaemias of specified cell type Includes: morphology codes M984, M9850, M9900, M9910, M9931-M9932 with behaviour code /3 208

45 ()() /3 狀 (C91.4) (C90.1) Excludes: leukaemic reticuloendotheliosis (C91.4) plasma cell leukaemia (C90.1) C94.0 C94.0 Acute erythraemia and erythroleukaemia ( ) Acute erythraemic myelosis Di Guglielmo ( ) Di Guglielmo's disease C94.1 C94.1 Chronic erythraemia Heilmeyer-Schöner () Heilmeyer-Schöner disease C94.2 C94.2 Acute megakaryoblastic leukaemia ( 列 ) Leukaemia: () () megakaryoblastic (acute) megakaryocytic (acute) C94.3 C94.3 Mast cell leukaemia C94.4 ( ) C94.4 Acute panmyelosis C94.5 C94.5 Acute myelofibrosis C94.7 C94.7 Other specified leukaemias 淋 Lymphosarcoma cell leukaemia C95 類 M980 () /3 C95 Leukaemia of unspecified cell type Includes: morphology code M980 with behaviour code /3 C95.0 類 C95.0 Acute leukaemia of unspecified cell type Blast cell leukaemia 惡 (C95.1) Stem cell leukaemia Excludes: acute exacerbation of unspecified chronic leukaemia (C95.1) C95.1 類 C95.1 Chronic leukaemia of unspecified cell type 209

46 C95.2 類 C95.2 Subacute leukaemia of unspecified cell type C95.7 類 C95.7 Other leukaemia of unspecified cell type C95.9 C95.9 Leukaemia, unspecified C96 淋 惡 M972 M974 ( )() /3 C96 Other and unspecified malignant neoplasms of lymphoid, haematopoietic and related tissue Includes: morphology codes M972, M974 with behaviour code /3 C96.0 Letterer-Siwe () C96.0 Letterer-Siwe disease ( 列 ) Nonlipid: 狀 reticuloendotheliosis 狀 reticulosis C96.1 惡 C96.1 Malignant histiocytosis Histiocytic medullary reticulosis C96.2 惡 C96.2 Malignant mast cell tumour ( 列 ) 惡 Malignant : (C94.3) ( ) (Q82.2) mastocytoma mastocytosis Mast cell sarcoma Excludes: mast cell leukaemia (C94.3) mastocytosis (cutaneous) (Q82.2) C96.3 淋 C96.3 True histiocytic lymphoma C96.7 淋 惡 C96.9 淋 惡 C96.7 Other specified malignant neoplasms of lymphoid, haematopoietic and related tissue C96.9 Malignant neoplasm of lymphoid, haematopoietic and related tissue, unspecified 立 ( )( ) 惡 (C97) Malignant neoplasms of independent (primary) multiple sites (C97) 210