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KMID : 0357920080420030140
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Korean Journal of Pathology
2008 Volume.42 No. 3 p.140 ~ p.150
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Porposal for Creating a Guideline for Cancer Registration of the Gastrointestinal Tumors (I)
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Cho Mee-Yon
Kang Yun-Kyung
Kim Kyoung-Mee
Chang Hee-Kyung
Chang Hee-Jin
Chang Mee-Soo
Kim Joon-Mee
Kang Dae-Young
Park Chan-Il
Sohn Jin-Hee
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Abstract
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Background : Cancer registries are fundamental for cancer control and multicenter collaborative research. However, there have been discrepancies among pathologists in classifying cancer and assigning the codes according to the International Classification of Disease Oncology 3 (ICD-O3). To improve the quality of cancer registries as well as to prevent the conflict with medical insurance compensation, a guideline for the coding of cancer is mandatory.
Methods & Results : Funded by the Management Center for Health Promotion, 40 members of the Gastrointestinal Pathology Study Group and the Cancer Registration Committee of the Korean Society of Pathologists participated in the 1st workshop for gastrointestinal tumor registration. The subjects of gastric epithelial tumor, intramucosal carcinoma of the colon, carcinoid tumor, gastrointestinal stromal tumor and appendiceal mucinous tumor were discussed to create a guideline. A survey to obtain consensus for the guideline proposed by the workshop was carried out by the members of the Korean Society of Pathologists and 240 members completed the questionnaire.
Conclusion : Although there are some issues to be discussed further, such as coding of high grade dysplasia/adenoma and intramucosal carcinoma of stomach and colon, the members agreed upon most parts of the proposed guideline. Therefore, we suggest using the ICD-O3 coding guideline for gastrointestinal tumor.
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KEYWORD
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Cancer registries, International classification of diseases, Gastrointestinal neoplasm
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