.다중원발암, 조직학코드 문의드립니다.1. Uterus, total hysterectomy;   1) Neuroendocrine carcinoma (small cell and large cell types), high grade, admixed with early      invasive endocervical adenocarcinoma (12), cervix (1-5,9,12,13,19), with      (1) tumor size; 3.7x1.5cm (the largest one)      (2) depth of stromal invasion; 0.7cm      (3) adenocarcinoma in situ (4,6,8-12)      (4) squamous cell carcinoma in situ (10,11)      (5) clear cervical resection margin (safety margin; 4mm) (3)      (6) tumor emboli in lymphovascular spaces      (7) no tumor invasion, paracervical soft tissue   2) Leiomyoma with focal dystrophic calcification, intramural type (16)   3) Adenomyosis (14)   4) Late secretory endometrium (14,15)2. Salpinx, both, salpingectomy;   1) Paratubal cyst (17)   2) Unremarkable, both salpinges (17,18)   * Number of total LNs (0/7) (F2023-935, F2023-936) (FIGO IB2)조직병리검사결과 위와같이 확인되었습니다.이 경우 1) C539, M8246/32) C539, M8384/3 으로 다중원발암 등록해야하는지,C539, M8574/3으로 한번만 등록하면 되는지 확인 부탁드립니다.감사합니다!
M8574/3 Adenocarcinoma admixed with neuroendocrine carcinoma  로 등록합니다.(2012 암등록지침- P.44 복잡한 조직학적 진단명 규칙- 조합코드 사용)