癌症登記工作小組通知

癌症登記工作小組通知 急件 收文者 : 所有癌登醫院 發件人 : 電話 : 癌症登記工作小組楊雅雯 02-2341-6012 Ext.23 傳真 : 02-2341-5967 地址 : 日期 : 編號 : 100 台北郵政 84-310 信箱 99 年 12 月 6 日 癌登 099171 號 副本收文者 : 行政院衛生署國民健康局為因應癌症登記實務作業之需求, 自 99 年 1 月 1 日起主題 : 新診斷個案, 請依說明段辦理, 請查照 急件 請檢閱 請加註 請回覆 請回收 一 本案係依行政院衛生署國民健康局委託 台灣癌症登記工作計畫 辦理 二 自 99 年 1 月 1 日起之新診斷神經系統腫瘤個案, 其癌症登記申報請依下述規定辦理 : ( 一 ) 神經系統腫瘤個案則請依 WHO(2007) 新增修之神經系統腫瘤組織形態記載個案被診斷之 Histology(5 碼 ) 及 WHO Name ( 二 ) 新增修之神經系統腫瘤組織形態編碼及 WHO Name(2007 版 ), 請參考附件 三 自 99 年 1 月 1 日起之新診斷血液腫瘤個案, 再次提醒病歷記載及其癌症登記申報請依下述規定辦理 : ( 一 ) 血液腫瘤個案則請依 WHO(2008) 新增修之血液腫瘤組織形態記載個案被診斷之 Histology(5 碼 ) 及 WHO Name ( 二 ) 新增修之血液腫瘤組織形態編碼 ( 範圍包含 M-code 9590/3-9992/3) 及 WHO Name(2008 版 ), 請各醫院至中華民國血液病學會網站 (http://www.hematology.org.tw/web2/index.php?act=post&id=129) 查詢及下載 癌症登記工作小組

附件 2007 年 WHO 神經系統腫瘤分類第 4 版 2007 WHO Classification of Tumors of the Central Nervous System 世界衛生組織 (WHO) 於 2007 年出版第 4 版的神經系統腫瘤分類, 詳述了新的分類與編碼 其中, 第 4 版多了八種新分類 (new entities) 與三種新分型 (new variants) 故為落實癌症登錄的正確性與完整性, 請各醫院依據新增 神經系統腫瘤分類 編碼, 並自民國 99 年起新診斷之個案開始適用 ( 癌登自 100 年開始申報 ) 新增編碼與名稱如下 : ICD-O-3 WHO 2007 申報至英文名稱 Code Code 癌登小組 New Entities 9390/1 9390/1 Atypical choroid plexus papilloma - - 9395/3 Papillary tumor of the pineal region 需申報 - 9431/1 Angiocentric glioma - - 9432/1 Pituicytoma - 9506/1 9506/1 Extraventricular neurocytoma - - 9509/1 Papillary glioneuronal tumor (PGNT) - 9509/1 Rosette-forming glioneuronal tumor of the fourth ventricle - 8291/0 Spindle cell oncocytoma of the - adenohypophysis New Variants - 9425/3 Pilomyxoid astrocytoma 需申報 9471/3 9471/3 Anaplastic medulloblastoma 需申報 9474/3 9474/3 Medulloblastoma with extensive nodularity 需申報 下頁附錄 :2007 年 WHO 第 4 版的神經系統腫瘤分類表 (IARC, Lyon)

100 Acta Neuropathol (2007) 114:97 109 Table 1 The 2007 WHO ClassiWcation of Tumours of the Central Nervous System. Reprinted from Ref. 35 TUMOURS OF NEUROEPITHELIAL TISSUE Astrocytic tumours Pilocytic astrocytoma 9421/1 1 Pilomyxoid astrocytoma 9425/3* Subependymal giant cell astrocytoma 9384/1 Pleomorphic xanthoastrocytoma 9424/3 Diffuse astrocytoma 9400/3 Fibrillary astrocytoma 9420/3 Gemistocytic astrocytoma 9411/3 Protoplasmic astrocytoma 9410/3 Anaplastic astrocytoma 9401/3 Glioblastoma 9440/3 Giant cell glioblastoma 9441/3 Gliosarcoma 9442/3 Gliomatosis cerebri 9381/3 Neuronal and mixed neuronal-glial tumours Dysplastic gangliocytoma of cerebellum (Lhermitte-Duclos) 9493/0 Desmoplastic infantile astrocytoma/ ganglioglioma 9412/1 Dysembryoplastic neuroepithelial tumour 9413/0 Gangliocytoma 9492/0 Ganglioglioma 9505/1 Anaplastic ganglioglioma 9505/3 Central neurocytoma 9506/1 Extraventricular neurocytoma 9506/1* Cerebellar liponeurocytoma 9506/1* Papillary glioneuronal tumour 9509/1* Rosette-forming glioneuronal tumour of the fourth ventricle 9509/1* Paraganglioma 8680/1 Oligodendroglial tumours Oligodendroglioma 9450/3 Anaplastic oligodendroglioma 9451/3 Oligoastrocytic tumours Oligoastrocytoma 9382/3 Anaplastic oligoastrocytoma 9382/3 Ependymal tumours Subependymoma 9383/1 Myxopapillary ependymoma 9394/1 Ependymoma 9391/3 Cellular 9391/3 Papillary 9393/3 Clear cell 9391/3 Tanycytic 9391/3 Anaplastic ependymoma 9392/3 Choroid plexus tumours Choroid plexus papilloma 9390/0 Atypical choroid plexus papilloma 9390/1* Choroid plexus carcinoma 9390/3 Other neuroepithelial tumours Astroblastoma 9430/3 Chordoid glioma of the third ventricle 9444/1 Angiocentric glioma 9431/1* Tumours of the pineal region Pineocytoma 9361/1 Pineal parenchymal tumour of intermediate differentiation 9362/3 Pineoblastoma 9362/3 Papillary tumour of the pineal region 9395/3* Embryonal tumours Medulloblastoma 9470/3 Desmoplastic/nodular medulloblastoma 9471/3 Medulloblastoma with extensive nodularity 9471/3* Anaplastic medulloblastoma 9474/3* Large cell medulloblastoma 9474/3 CNS primitive neuroectodermal tumour 9473/3 CNS Neuroblastoma 9500/3 CNS Ganglioneuroblastoma 9490/3 Medulloepithelioma 9501/3 Ependymoblastoma 9392/3 Atypical teratoid / rhabdoid tumour 9508/3 TUMOURS OF CRANIAL AND PARASPINAL NERVES Schwannoma (neurilemoma, neurinoma) 9560/0 Cellular 9560/0 Plexiform 9560/0 Melanotic 9560/0 Neurofibroma 9540/0 Plexiform 9550/0

Acta Neuropathol (2007) 114:97 109 101 Table 1 continued Perineurioma Perineurioma, NOS 9571/0 Malignant perineurioma 9571/3 Malignant peripheral nerve sheath tumour (MPNST) Epithelioid MPNST 9540/3 MPNST with mesenchymal differentiation 9540/3 Melanotic MPNST 9540/3 MPNST with glandular differentiation 9540/3 TUMOURS OF THE MENINGES Tumours of meningothelial cells Meningioma 9530/0 Meningothelial 9531/0 Fibrous (fibroblastic) 9532/0 Transitional (mixed) 9537/0 Psammomatous 9533/0 Angiomatous 9534/0 Microcystic 9530/0 Secretory 9530/0 Lymphoplasmacyte-rich 9530/0 Metaplastic 9530/0 Chordoid 9538/1 Clear cell 9538/1 Atypical 9539/1 Papillary 9538/3 Rhabdoid 9538/3 Anaplastic (malignant) 9530/3 Mesenchymal tumours Lipoma 8850/0 Angiolipoma 8861/0 Hibernoma 8880/0 Liposarcoma 8850/3 Solitary fibrous tumour 8815/0 Fibrosarcoma 8810/3 Malignant fibrous histiocytoma 8830/3 Leiomyoma 8890/0 Leiomyosarcoma 8890/3 Rhabdomyoma 8900/0 Rhabdomyosarcoma 8900/3 Chondroma 9220/0 Chondrosarcoma 9220/3 Osteoma 9180/0 Osteosarcoma 9180/3 Osteochondroma 9210/0 Haemangioma 9120/0 Epithelioid haemangioendothelioma 9133/1 Haemangiopericytoma 9150/1 Anaplastic haemangiopericytoma 9150/3 Angiosarcoma 9120/3 Kaposi sarcoma 9140/3 Ewing sarcoma - PNET 9364/3 Primary melanocytic lesions Diffuse melanocytosis 8728/0 Melanocytoma 8728/1 Malignant melanoma 8720/3 Meningeal melanomatosis 8728/3 Other neoplasms related to the meninges Haemangioblastoma 9161/1 LYMPHOMAS AND HAEMATOPOIETIC NEOPLASMS Malignant lymphomas 9590/3 Plasmacytoma 9731/3 Granulocytic sarcoma 9930/3 GERM CELL TUMOURS Germinoma 9064/3 Embryonal carcinoma 9070/3 Yolk sac tumour 9071/3 Choriocarcinoma 9100/3 Teratoma 9080/1 Mature 9080/0 Immature 9080/3 Teratoma with malignant transformation 9084/3 Mixed germ cell tumour 9085/3 TUMOURS OF THE SELLAR REGION Craniopharyngioma 9350/1 Adamantinomatous 9351/1 Papillary 9352/1 Granular cell tumour 9582/0 Pituicytoma 9432/1* Spindle cell oncocytoma of the adenohypophysis 8291/0* METASTATIC TUMOURS

Acta Neuropathol (2007) 114:97 109 107 Table 2 WHO Grading of Tumours of the Central Nervous System. Reprinted from Ref. 35 I II III IV I II III IV Astrocytic tumours Subependymal giant cell astrocytoma Central neurocytoma Extraventricular neurocytoma Pilocytic astrocytoma Cerebellar liponeurocytoma Pilomyxoid astrocytoma Paraganglioma of the spinal cord Diffuse astrocytoma Papillary glioneuronal tumour Pleomorphic xanthoastrocytoma Anaplastic astrocytoma Rosette-forming glioneuronal tumour of the fourth ventricle Glioblastoma Giant cell glioblastoma Pineal tumours Gliosarcoma Pineocytoma Pineal parenchymal tumour of Oligodendroglial tumours intermediate differentiation Oligodendroglioma Pineoblastoma Anaplastic oligodendroglioma Papillary tumour of the pineal region Oligoastrocytic tumours Embryonal tumours Oligoastrocytoma Medulloblastoma Anaplastic oligoastrocytoma CNS primitive neuroectodermal tumour (PNET) Ependymal tumours Atypical teratoid / rhabdoid tumour Subependymoma Myxopapillary ependymoma Tumours of the cranial and paraspinal nerves Ependymoma Schwannoma Anaplastic ependymoma Neurofibroma Perineurioma Choroid plexus tumours Choroid plexus papilloma Malignant peripheral nerve sheath tumour (MPNST) Atypical choroid plexus papilloma Choroid plexus carcinoma Meningeal tumours Meningioma Other neuroepithelial tumours Atypical meningioma Angiocentric glioma Anaplastic / malignant meningioma Chordoid glioma of the third ventricle Haemangiopericytoma Anaplastic haemangiopericytoma Haemangioblastoma Neuronal and mixed neuronal-glial tumours Gangliocytoma Tumours of the sellar region Ganglioglioma Craniopharyngioma Anaplastic ganglioglioma Desmoplastic infantile astrocytoma and ganglioglioma Granular cell tumour of the neurohypophysis Pituicytoma Dysembryoplastic neuroepithelial tumour Spindle cell oncocytoma of the adenohypophysis