{"id":3529,"date":"2026-04-15T11:00:00","date_gmt":"2026-04-15T03:00:00","guid":{"rendered":"https:\/\/twcr.tw\/?p=3529"},"modified":"2026-04-15T10:42:29","modified_gmt":"2026-04-15T02:42:29","slug":"%e7%99%8c%e7%99%bb%e7%ac%ac115004%e8%99%9f%e9%80%9a%e7%9f%a5%e6%96%87-international-classification-of-diseases-for-oncology-4th-edition%ef%bc%88icd-o-4%ef%bc%89%e6%9c%80%e6%96%b0%e8%a8%8a%e6%81%af","status":"publish","type":"post","link":"https:\/\/twcr.tw\/?p=3529","title":{"rendered":"[\u764c\u767b\u7b2c115004\u865f\u901a\u77e5\u6587] International Classification of Diseases for Oncology, 4th Edition\uff08ICD-O-4\uff09\u6700\u65b0\u8a0a\u606f\u8207\u4fee\u6b63AJCC Version 9 TNM\u3001stage\u7de8\u78bc\u5c0d\u61c9\u8207\u7b2c8\u7248\u5dee\u7570\u8655\uff0c\u8acb\u67e5\u7167"},"content":{"rendered":"<p>\u4e00\u3001\u672c\u6848\u4fc2\u4f9d\u885b\u751f\u798f\u5229\u90e8\u570b\u6c11\u5065\u5eb7\u7f72\u59d4\u8a17\u300c\u53f0\u7063\u764c\u75c7\u767b\u8a18\u5de5\u4f5c\u8a08\u756b\u300d\u8fa6\u7406\u3002<\/p>\n<p>\u4e8c\u3001\u4f9d\u570b\u969b\u764c\u75c7\u767b\u8a18\u5354\u6703\uff08IACR\uff09\u53ca\u570b\u969b\u764c\u75c7\u7814\u7a76\u7f72\uff08IARC\uff09\u6700\u65b0\u516c\u544a\uff0cInternational Classification of Diseases for Oncology, 4th Edition\uff08ICD-O-4\uff09\u4e4b\u4e3b\u8981\u7de8\u78bc\u5167\u5bb9\u5df2\u5728\u8ad6\u6587\uff08https:\/\/doi.org\/10.1016\/j.canep.2026.102989\uff09\u516c\u958b\u767c\u8868\uff0c\u5305\u542bICD-O-4 topography\u8207morphology\u4e3b\u8868\uff0c\u4ee5\u53ca ICD-O-3.2\u81f3ICD-O-4\u4e4b\u7570\u52d5\u5c0d\u7167\u8cc7\u6599\uff08https:\/\/ars.els-cdn.com\/content\/image\/1-s2.0-S1877782126000044-mmc1.xlsx\u8207https:\/\/ars.els-cdn.com\/content\/image\/1-s2.0-S1877782126000044-mmc2.xlsx\u5169\u8868\u53ef\u4e0b\u8f09\uff09\u3002\u6709\u95dcICD-O-4\u76f8\u95dc\u8a0a\u606f\u53ef\u53c3\u95b1IACR\u7db2\u7ad9\uff1a<a href=\"https:\/\/the-iacr.net\/en\/standards\/icd-o-4\">https:\/\/the-iacr.net\/en\/standards\/icd-o-4<\/a>\uff1b\u60df\u6b63\u5f0fICD-O-4\u51fa\u7248\u54c1\uff08WHO publication\uff09\u76ee\u524d\u4ecd\u5728\u7de8\u88fd\u4e2d\u3002<\/p>\n<p>\u00a0\u00a0\u00a0 \u8003\u91cfICD-O-4\u70ba\u764c\u75c7\u5206\u985e\u8207\u7de8\u78bc\u5236\u5ea6\u4e4b\u91cd\u5927\u66f4\u65b0\uff0c\u6d89\u53camorphology\u7de8\u78bc\u7d50\u69cb\u3001\u90e8\u5206topography\/behavior code\u8abf\u6574\uff0c\u4ee5\u53ca\u65b0\u589e\u591a\u9805\u816b\u7624\u5be6\u9ad4\u8207\u89e3\u5256\u90e8\u4f4d\u5206\u985e\uff0c\u672c\u4e2d\u5fc3\u6b63\u8fa6\u7406\u76f8\u95dc\u7533\u5831\u898f\u7bc4\u3001\u7cfb\u7d71\u7a0b\u5f0f\u53ca\u914d\u5957\u4f5c\u696d\u8abf\u6574\u3002<\/p>\n<p>\u00a0\u00a0\u00a0 \u9810\u8a08\u81ea\u660e\uff08116\uff09\u5e74\u8d77\u6b63\u5f0f\u5c0e\u5165ICD-O-4\u7de8\u78bc\u4f5c\u696d\uff0c\u9069\u7528\u65bc115\u5e74\u65b0\u8a3a\u65b7\u500b\u6848\u3002\u8acb\u5404\u91ab\u7642\u9662\u6240\u9810\u70ba\u56e0\u61c9\uff0c\u4ffe\u5229\u5f8c\u7e8c\u7533\u5831\u4f5c\u696d\u9806\u5229\u929c\u63a5\u3002\u76f8\u95dcICD-O-4\u7de8\u78bc\u5c0d\u7167\u8cc7\u6599\u53ca\u7533\u5831\u898f\u7bc4\u5c07\u53e6\u884c\u516c\u544a\u3002<\/p>\n<p>\u4e09\u3001\u65bc\u764c\u767b\u7b2c112005\u865f\u901a\u77e5\u6587\u516c\u544a\u4e4b\u795e\u7d93\u5167\u5206\u6ccc\u816b\u7624\u76f8\u95dcAJCC Version 9 TNM\/Stage\u7de8\u78bc\u5c0d\u61c9\u8868\u53ca\u7b2c8\u30019\u7248\u5dee\u7570\u6bd4\u8f03\u8868\uff0c\u7d93\u91ab\u9662\u56de\u994b\u6307\u6b63\u5f8c\uff0c\u78ba\u8a8d\u5171\u67096\u8655\u5167\u5bb9\u9700\u4fee\u6b63\uff08\u8a73\u898b\u4e0b\u65b9\u9023\u7d50\u8655PDF\u6a94\u9ec3\u5e95\u6a19\u793a\u8655\uff09\u3002<br \/>\u66f4\u65b0\u7248\u6587\u4ef6\u5df2\u540c\u6b65\u516c\u544a\u65bc\u53f0\u7063\u764c\u75c7\u767b\u8a18\u4e2d\u5fc3\u7db2\u7ad9\u300c\u8cc7\u6599\u4e0b\u8f09\u300d\uff1e\u300c\u764c\u75c7\u767b\u8a18\u7533\u5831\u76f8\u95dc\u8868\u55ae\u300d\u9805\u4e0b\uff0c\u8acb\u9015\u884c\u4e0b\u8f09\u6700\u65b0\u7248\u672c\u53c3\u7528\uff0c\u6216\u9023\u7d50<a href=\"https:\/\/twcr.tw\/wp-content\/uploads\/2026\/04\/ajcc-v9-20260415.pdf\">https:\/\/twcr.tw\/wp-content\/uploads\/2026\/04\/ajcc-v9-20260415.pdf<\/a>\u3002<\/p>\n<p>\u8a73\u7d30\u4fee\u6b63\u8655\u8aaa\u660e\u5982\u4e0b\uff1a<\/p>\n<ol>\n<li><strong>Neuroendocrine Tumors of the Duodenum and Ampulla of Vater<\/strong>\uff1a<br \/>\u65b0\u589epM1c: Microscopic confirmation of both hepatic and extrahepatic metastases\u3002<\/li>\n<li><strong>Neuroendocrine Tumors of the Jejunum and Ileum<\/strong>\uff1a<br \/>\u522a\u4feeT2: Tumor invades the muscularis propria or &gt; 1 cm in greatest dimension <span style=\"text-decoration: line-through;\">with invasion of the mucosa or submucosa<\/span> (\u522a\u9664with invasion of the mucosa or submucosa)<\/li>\n<li><strong>Neuroendocrine Tumors of the Appendix<\/strong><strong>\uff1a<\/strong><br \/><span style=\"color: #ff0000;\">p<\/span>M1c: Microscopic confirmation of <span style=\"color: #ff0000;\"><strong>both hepatic and extrahepatic metastases<\/strong><\/span> (\u539f\u5dee\u7570\u8655\u8868\u683c\u8aa4\u690d\u70bametastasis to sites other than peritoneum)<\/li>\n<li><strong>Neuroendocrine Tumors of the Colon and Rectum<\/strong>\uff1a<br \/>T1a: Tumor<span style=\"color: #ff0000;\"><strong>\u2266<\/strong><\/span>1 cm in greatest dimension (\u4fee\u6b63&lt;1 cm\u70ba\u22661 cm)<\/li>\n<\/ol>\n<p><span style=\"font-size: revert; color: initial;\">[<\/span><a href=\"https:\/\/twcr.tw\/wp-content\/uploads\/2026\/04\/CRS-notice_115004.pdf\">\u764c\u767b\u7b2c115004\u865f\u901a\u77e5\u6587\u5168\u6587\u4e0b\u8f09<\/a><span style=\"font-size: revert; color: initial;\">]<\/span><\/p>\n<p><span style=\"font-size: revert; color: initial;\">[<a href=\"https:\/\/doi.org\/10.1016\/j.canep.2026.102989\">ICD-O-4\u8ad6\u6587<\/a><\/span>\u4e0b\u8f09<span style=\"font-size: revert; color: initial;\">]<\/span><\/p>\n<p><span style=\"font-size: revert; color: initial;\">[<a href=\"https:\/\/ars.els-cdn.com\/content\/image\/1-s2.0-S1877782126000044-mmc1.xlsx\">ICD-O-4 topography\u8207morphology\u4e3b\u8868<\/a><\/span>\u4e0b\u8f09<span style=\"font-size: revert; color: initial;\">]<\/span><\/p>\n<p><span style=\"font-size: revert; color: initial;\">[<\/span><a href=\"https:\/\/ars.els-cdn.com\/content\/image\/1-s2.0-S1877782126000044-mmc2.xlsx\">ICD-O-3.2\u81f3ICD-O-4\u4e4b\u7570\u52d5\u5c0d\u7167\u8cc7\u6599<\/a>\u4e0b\u8f09<span style=\"font-size: revert; color: initial;\">]<\/span><\/p>\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u4e00\u3001\u672c\u6848\u4fc2\u4f9d\u885b\u751f\u798f\u5229\u90e8\u570b\u6c11\u5065\u5eb7\u7f72\u59d4\u8a17\u300c\u53f0 &hellip; <\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[17],"tags":[],"class_list":["post-3529","post","type-post","status-publish","format-standard","hentry","category-lastsnews"],"_links":{"self":[{"href":"https:\/\/twcr.tw\/index.php?rest_route=\/wp\/v2\/posts\/3529","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/twcr.tw\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/twcr.tw\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/twcr.tw\/index.php?rest_route=\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/twcr.tw\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=3529"}],"version-history":[{"count":4,"href":"https:\/\/twcr.tw\/index.php?rest_route=\/wp\/v2\/posts\/3529\/revisions"}],"predecessor-version":[{"id":3533,"href":"https:\/\/twcr.tw\/index.php?rest_route=\/wp\/v2\/posts\/3529\/revisions\/3533"}],"wp:attachment":[{"href":"https:\/\/twcr.tw\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=3529"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/twcr.tw\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=3529"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/twcr.tw\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=3529"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}