갑상선암 수술시 조직검사로 아래와 같이 보고되었는데 두가지 질문이 있습니다.1. M코드 문의: right thyroid mass에서는 PAPILLARY CARCINOMA M8260/3를 주고 left thyroid middle mass에서는 Encapsulated follicular variant of papillary thyroid carcinoma M8349/1로 주면 되는걸까요? 2. 암등록대상: PAPILLARY CARCINOMA M8260/3에 대해서만 해주면 되는걸까요?Thyroid gland, partial thyroidectomy:1. Multiple PAPILLARY CARCINOMAS (x2)1-1. PAPILLARY CARCINOMA, Classical(usual) (2022 WHO classification)(A, "right thyroid mass")1) Tumor Site: Right lobe2) Tumor Focality: Unifocal3) Tumor Size (greatest dimension): 0.8 cm (right lobe, upper pole)1-2. Encapsulated follicular variant of papillary thyroid carcinoma (2022 WHO classification) (see comments)(C, "left thyroid middle mass")1) Tumor Site: Left lobe2) Tumor Focality: Unifocal3) Tumor Size (greatest dimension): 1.7 cm (left lobe)2. Pathologic Staging of Primary Tumor (pT) (according to AJCC 8th):Tumor more than 1 cm but not more than 2 cm in greatest dimension, limited to the thyroid (pT1b)3. Resection Margins: Uninvolved by carcinoma4. Tumor Capsule: PRESENT (Totally)5. Tumor Capsular Invasion: Not identified6. Lymph-Vascular Invasion: Indeterminate7. Lymph nodes: Not submitted8. Additional Pathologic Findings: (1) Nodular goiter (B, "right lower thyroid mass") (2) Follicular adenoma, 0.6 cm (D, "left thyroid lower mass")9. Parathyroid gland: Not identified
좌측은 M8349/1	Non-invasive follicular thyroid neoplasm with papillary-like nuclear features (NIFTP)(C73.9), 우측은 M8260/3	Papillary adenocarcinoma, NOS로 자문답변 받았습니다. M8349/1은 암등록 대상이 아니므로 M8260/3만 암등록바랍니다.