表1  子宫体肿瘤WHO分类

病种

Entities

ICD-O编码

上皮性肿瘤和前驱病变

Epithelial tumours and precursors

前驱病变

Precursors

增生不伴非典型性^▲

Hyperplasia without atypia

非典型增生/

子宫内膜样上皮内瘤变^●

Atypical hyperplasia/

Endometrioid intraepithelial neoplasia

8380/2*

子宫内膜癌

Endometrial carcinomas

子宫内膜样癌

Endometrioid carcinoma

8380/3

鳞状分化

Squamous differentiation

8570/3

绒毛腺型

Villoglandular

8263/3

分泌性

Secretory

8382/3

黏液性癌

Mucinous carcinoma

8480/3

浆液性子宫内膜上皮内癌^●

Serous endometrial

intraepithelial carcinoma

8441/2*

浆液性癌

Serous carcinoma

8441/3

透明细胞癌

Clear cell carcinoma

8310/3

神经内分泌肿瘤^●

Neuroendocrine tumours

低级别神经内分泌肿瘤

Low-grade neuroendocrine tumour

类癌

Carcinoid tumour

8240/3

高级别神经内分泌肿瘤

High-grade neuroendocrine carcinoma

小细胞神经内分泌癌

Small cell neuroendocrine carcinoma

8041/3

大细胞神经内分泌癌

Large cell neuroendocrine carcinoma

8013/3

混合细胞性腺癌

Mixed cell adenocarcinoma

8323/3

未分化癌

Undifferentiated carcinoma

8020/3

去分化癌^●▲

Dedifferentiated carcinoma

瘤样病变

Tumour-like lesions

息肉^▲

Polyp

化生^●▲

Metaplasias

A-S反应^●▲

Arias-Stella reaction

淋巴瘤样病变^●▲

Lymphoma-like lesion

间叶性肿瘤

Mesenchymal tumours

平滑肌瘤

Leiomyoma

8890/0

富于细胞性平滑肌瘤

Cellular Leiomyoma

8892/0

伴有奇异核的平滑肌瘤^●

Leiomyoma with bizarre nuclei

8893/0

核分裂活跃的平滑肌瘤

Mitotically active leiomyoma

8890/0

水肿性平滑肌瘤^●

Hydropic leiomyoma

8890/0

卒中性平滑肌瘤^●

Apoplectic leiomyoma

8890/0

脂肪瘤样平滑肌瘤^●

(脂肪平滑肌瘤)

Lipomatous leiomyoma (Iipoleiomyoma)

8890/0

上皮样平滑肌瘤

Epithelioid leiomyoma

8891/0

黏液样平滑肌瘤

Myxoid leiomyoma

8896/0*

分隔性 (叶状)平滑肌瘤^●

Dissecting (cotyledonoid) leiomyoma

8891/0

弥漫性平滑肌瘤病

Diffuse leiomyomatosis

8891/1

静脉内平滑肌瘤病

Intravenous leiomyomatosis

8891/1

转移性平滑肌瘤^●

Metastasizing leiomyoma

8898/1

恶性潜能未定的平滑肌肿瘤

Smooth muscle tumour of

uncertain malignant potential

8897/1

平滑肌肉瘤

Leiomyosarcoma

8890/3

上皮样平滑肌肉瘤

Epithelioid leiomyosarcoma

8891/3

黏液样平滑肌肉瘤

Myxoid leiomyosarcoma

8896/3

子宫内膜间质及其相关肿瘤

Endometrial stromal and

related tumours

子宫内膜间质结节

Endometrial stromal nodule

8930/0

低级别子宫内膜间质肉瘤

Low-grade endometrial stromal sarcoma

8931/3

高级别子宫内膜间质肉瘤^●

High-grade endometrial stromal sarcoma

8930/3

未分化子宫肉瘤

Undifferentiated uterine sarcoma

8805/3

类似于卵巢性索间质

肿瘤的子宫肿瘤^●

Uterine tumour resembling

ovarian sex cord

8590/1*

杂类间叶性肿瘤

Miscellaneous mesenchymal tumours

横纹肌肉瘤^●

Rhabdomyosarcoma

8900/3

血管周上皮样细胞肿瘤

Perivascular epithelioid cell tumour

良性

Benign

8714/0*

恶性

Malignant

8714/3*

其它

Others

混合性上皮和间叶性肿瘤

Mixed epithelial and

mesenchymal tumours

腺肌瘤

Adenomyoma

8932/0

非典型息肉样腺肌瘤^●

Atypical polypoid adenomyoma

8932/0

腺纤维瘤

Adenofibroma

9013/0

腺肉瘤

Adenosarcoma

8933/3

癌肉瘤

Carcinosarcoma

8980/3

杂类肿瘤

Miscellaneous tumours

腺瘤样瘤

Adenomatoid tumour

9054/0

神经外胚层肿瘤^▲

Neuroectodermal tumours

生殖细胞肿瘤^▲

Germ cell tumours

淋巴样与髓样肿瘤

Lymphoid and myeloid tumours

淋巴瘤^▲

Lymphomas

髓样肿瘤^●▲

Myeloid neoplasms

继发性肿瘤

Secondary tumours

注：带^●(着重号)者为新增病种。带*(星号)者为新增编码，2013年由IARC/WHO编码委员会批准。0代表良性，1代表不确定、交界性或生物学行为不定，2代表原位癌/上皮内瘤变Ⅲ级，3代表生物学行为恶性。带^▲(三角号)者为译者所加，目前尚无ICD-O编码，以待后续