Veterans and Agent Orange Update 2008 (2009) / Chapter Skim
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Appendix B: Clarification of Cancer Groupings Used in Reporting Results, with Correspondence to NIOSH Cause-of-Death Codes and ICD Codes for Cancers
Appendix B: Clarification of Cancer Groupings Used in Reporting Results, with Correspondence to NIOSH Cause-of-Death Codes and ICD Codes for Cancers
Pages 666-675
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prepared Table B-1 to demonstrate how conclusions provided for the full range of cancer types and to clarify into which groupings any specific cancer diagnosis falls. The major portion of evidence compiled for review in the Veterans and Agent Orange (VAO)
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TABLE B-1 Mapping of Groupings of Malignant Neoplasms That Are the Subjects of Conclusions in Veterans and Agent Orange Series with ICD-9 Codes NIOSH Category for Cause of Death "VAO Characterization of Grouping"a Major Minor NIOSH Groupings of Cancer Sites Subsites ICD-9 codes 02 Buccal cavity and pharynx "Oral, nasal, and pharyngeal" 004 Lip 140 005 Tongue 141 006 Other parts of buccal cavity Salivary glands 142 Floor of mouth 144 Gum and other mouth 143, 145 007 Pharynx Oropharynx 146 Tonsil 146.0–146.2 Nasopharynx 147 Hypopharynx 148 Other buccal cavity and pharynx 149 (160 = nasal below) 03 Digestive organs and peritoneum 008 Esophagus "Esophagus" 150 009 Stomach "Stomach" 151 010 Intestine except rectum "Colorectal" Small intestine 152 Colon (large intestine)
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05 019 Breast (male and female) "Breast" 174, 175 06 Female genital organs "Female reproductive" 020 Cervix uteri 180
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187 08 Urinary system 026 Kidney (including renal pelvis and ureter) "Renal" 189.0–189.2 027 Bladder and other urinary organs "Urinary bladder" 188, 189.3–189.9 Bladder 188 Urethra, paraurethral glands, other and 189.3–189.9 unspecified urinary (discontinuity with ICD codes)
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164.0 036 Other and unspecified sites Other endocrine cancers 194 Other and ill-defined sites 195 Stated or assumed to be secondary of specified 196–198 sites Site unspecified 199 10 Lymphatic and hematopoietic tissue Lymphoma 037 Hodgkin's disease 201 038 Non-Hodgkin's lymphoma 200, 202 (excluding 202.4) , 273.3 039 Multiple myeloma 203 (excluding 203.1)
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Myeloid (granulocytic) Acute myeloid Acute 205.0 Acute erythremia and erythroleukemia 207.0 Megakaryocytic leukemia 207.2 Chronic myeloid 205.1 Other myeloid 205.2–205.3, 205.8–205.9 Monocytic Acute monocytic 206.0 Chronic monocytic 206.1 Other monocytic 206.2–206.9 Other leukemia Other acute 208.0 Other chronic 207.1, 208.1 Aleukemic, subleukemia and "not otherwise 203.1, 207.2, 207.8, 208.2–208.9 specified" aBoldface cancer (sub)
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Codes for malignant neoplasms span the ICD-9 range 140.0–208.9, NIOSH's major categories 02–10, or NIOSH's more specific minor categories 004–040. The NIOSH death codes for neoplasms provide comprehensive scaffolding for organizing the committee's reviews and conclusions by cancer type that is somewhat simpler than ICD classifications, but maps completely to the ICD system as it has evolved.
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APPENDIX B 673 TABLE B-2 Surveillance, Epidemiology, and End Results (SEER) Program Malignant Neoplasm Site Groupings for ICD-9 and ICD-10 Cancer Site ICD-9 codes ICD-10 codes Buccal cavity and pharynx Lip 140.0–140.9 C00.0–C00.9 Tongue 141.0–141.9 C01, C02.1–C02.9 Salivary glands 142.0–142.9 C07, C08.0–C08.9 Floor of mouth 144.0–144.9 C04.0–C04.9 Gum and other mouth 143.0–143.9, 145.0–145.6, C03.0–C03.9, C05.0–C05.9, 145.8–145.9 C06.0–C06.9 Nasopharynx 147.0–147.9 C11.1–C11.9 Tonsil 146.0–146.2 C09.0–C09.9 Oropharynx 146.3–146.9 C10.1–C10.9 Hypopharynx 148.0–148.9 C12, C13.0–C13.9 Other buccal cavity and pharynx 149.0–149.9 C14.0–C14.9 Digestive system Esophagus 150.0–150.9 C15.0–C15.9 Stomach 151.0–151.9 C16.0–C16.9 Small intestine 152.0–152.9 C17.0–C17.9 Colon excluding rectum 153.0–153.9, 159.0 C18.0–C18.9, C26.0 Rectum and rectosigmoid 154.0–154.1 C19, C20 junction Anus, anal canal, and anorectum 154.2–154.3, 154.8 C21.0–C21.9 Liver and intrahepatic bile duct Liver 155.0,155.2 C22.0, C22.2–C22.4, C22.7–C22.9 Intrahepatic bile duct 155.1 C22.1 Gallbladder 156.0 C23 Other biliary 156.1–156.9 C24.0–C24.9 Pancreas 157.0–157.9 C25.0–C25.9 Retroperitoneum 158.0 C48.0 Peritoneum, omentum, and 158.8–158.9 C48.1–C48.2 mesentery Other digestive organs 159.8–159.9 C26.8–26.9, C48.8 Respiratory system Nasal cavity, middle ear, and 160.0–160.9 C30.0, C30.1, C31.0–C31.9 accessory sinuses Larynx 161.0–161.9 C32.0–C32.9 Lung and bronchus 162.2–162.9 C34.0–C34.9 Pleura 163.0–163.9 C38.4 Trachea, mediastinum, and other 162.0, 164.2–165.9 C33, C38.1–C38.3, C38.8, respiratory organs C39 Bones and joints 170.0–170.9 C40.0–C40.9, C41.0–C41.9 Soft tissue (including heart)
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C75.0–C75.9 Lymphomas Hodgkin's disease 201.0–201.9 C81.0–81.9 Non-Hodgkin's lymphomas 200.0–200.8, 202.0–202.2, C82.0–C82.9, C83.0–C83.9, 202.8–202.9 C84.0–C84.5, C85.0–C85.9, C96.3 Multiple myeloma 203.0, 238.6 C90.0, C90.2 Leukemias Lymphocytic Acute lymphocytic 204.0 C91.0 Chronic lymphocytic 204.1 C91.1 Other lymphocytic 202.4, 204.2–204.9 C91.2–C91.4, C91.7, C91.9
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:1–32. Ries LAG, Eisner MP, Kosary CL, Hankey BF, Miller BA, Clegg L, Mariotto A, Fay MP, Feuer EJ, Edwards BK (eds)
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