| 表1 | Tab.1 | |
| 2020版WHO骨肿瘤分类与2013版的对照 | Comparison between the 2020 and 2013 editions in WHO bone tumor classification | |
| 国际疾病分类编号 | 2020版骨肿瘤分类 | 2013版骨肿瘤分类 |
| 软骨源性肿瘤(chondrogenic tumours) | 软骨源性肿瘤(chondrogenic tumours) | |
| -良性(benign) | -良性(benign) | |
| 9213/0 | 甲下骨疣(subungual exostosis) | 甲下骨疣(subungual exostosis) |
| 9212/0 | 奇异性骨旁骨软骨瘤样增生(bizarre parosteal osteochondromatous proliferation) | 奇异性骨旁骨软骨瘤样增生(bizarre parosteal osteochondromatous proliferation) |
| 9221/0 | 骨膜软骨瘤(periosteal chondroma) | 骨膜软骨瘤(oeriosteal chondroma) |
| 9220/0 | 内生软骨瘤(enchondroma) | 内生软骨瘤(enchondroma) |
| 9210/0 | 骨软骨瘤(osteochondroma) | 骨软骨瘤(osteochondroma) |
| 9230/0 | 软骨母细胞瘤(chondroblastoma) NOS | 滑膜软骨瘤病(synovial chondromatosis) |
| 9241/0 | 软骨黏液样纤维瘤(chondromyxiod fibroma) | 软骨瘤(chondroma) |
| 9211/0 | 骨软骨黏液瘤(osteochondromyxoma) | 骨软骨黏液瘤(osteochondromyxoma) |
| -中间型(局部侵袭性)(intermediate-locally aggressive) | -中间型(局部侵袭性)(intermediate-locally aggressive) | |
| Jan-20 | 软骨瘤病(chondromatosis) NOS | 软骨黏液样纤维瘤(chondromyxoid fibroma) |
| Jan-22 | 非典型软骨肿瘤(atypical cartilaginous tumour) | 非典型软骨样肿瘤/软骨肉瘤Ⅰ级(atypical cartilaginous tumour/chondrosarcoma grade Ⅰ) |
| -恶性(malignant) | -中间型(偶见转移型)(intermediate-rarely metastasizing) | |
| Mar-22 | 软骨肉瘤Ⅰ级(chondrosarcoma，grade1) | 软骨母细胞瘤(chondroblastoma) |
| Mar-20 | 软骨肉瘤Ⅱ级(chondrosarcoma，grade 2) | -恶性(malignant) |
| Mar-20 | 软骨肉瘤Ⅲ级(chondrosarcoma，grade 3) | 软骨肉瘤Ⅱ级(chondrosarcoma Grade Ⅱ) |
| Mar-21 | 骨膜软骨肉瘤(periosteal chondrosarcoma) | 软骨肉瘤Ⅲ级(chondrosarcoma Grade Ⅲ) |
| Mar-42 | 透明细胞软骨肉瘤(clear cell chondrosarcoma) | 去分化软骨肉瘤(dedifferentiated chondrosarcoma) |
| Mar-40 | 间叶型软骨肉瘤(mesenchymal chondrosarcoma) | 间叶型软骨肉瘤(mesenchymal chondrosarcoma) |
| Mar-43 | 去分化软骨肉瘤(dedifferantiated chondrosarcoma) | 透明细胞软骨肉瘤(clear cell chondrosarcoma) |
| 骨源性肿瘤(osteogenic tumours) | 骨源性肿瘤(osteogenic tumours) | |
| -良性(benign) | -良性(benign) | |
| 9180/0 | 骨瘤(osteoma) NOS | 骨瘤(osteoma) |
| 9191/0 | 骨样骨瘤(osteoid osteoma) NOS | 骨样骨瘤(osteoid osteoma) |
| -中间型(局部侵袭性)(intermediate-locally aggressive) | -中间型(局部侵袭性)(intermediate-locally aggressive) | |
| Jan-00 | 骨母细胞瘤(osteoblastoma) NOS | 成骨细胞瘤(osteoblastoma) |
| -恶性(maligant) | -恶性(malignant) | |
| Mar-87 | 低级别中心性骨肉瘤(low-grade central osteosarcoma) | 低级别中心性骨肉瘤(low-grade central osteosarcoma) |
| Mar-80 | 骨肉瘤(osteosarcoma) NOS | 传统型骨肉瘤(conventional osteosarcoma) |
| 普通型骨肉瘤(conventionalosteosarcoma) | 成软骨型骨肉瘤(chondroblastic osteosarcoma) | |
| Mar-92 | 毛细血管扩张性骨肉瘤(telangiectaticosteosarcoma) | 成纤维型骨肉瘤(fibroblastic osteosarcoma) |
| Mar-93 | 小细胞骨肉瘤(small cell osteosarcoma) | 成骨型骨肉瘤(osteoblastic osteosarcoma) |
| Mar-94 | 骨旁骨肉瘤(parosteal osteosarcoma) | 毛细血管扩张型骨肉瘤(telangiectatic osteosarcoma) |
| Mar-84 | 骨膜骨肉瘤(periosteal osteosarcoma) | 小细胞骨肉瘤(small cell osteosarcoma) |
| 高级别表面骨肉瘤(high-grade surface osteosarcoma) | 继发型骨肉瘤(secondary osteosarcoma) | |
| 继发型骨肉瘤(secondary osteosarcoma) | 骨旁型骨肉瘤(parosteal osteosarcoma) | |
| 骨膜骨肉瘤(periosteal osteosarcoma) | ||
| 高级别表面骨肉瘤(high-grade surface osteosarcoma) | ||
| 纤维源性肿瘤(fibrogenic tumours) | 纤维源性肿瘤(fibrogenic tumours) | |
| -中间型(局部侵袭性)(intermediate-locally aggressive) | -中间型(局部侵袭性)(intermediate-locally aggressive) | |
| Jan-23 | 促结缔组织增生性纤维瘤/韧带样纤维瘤(desmoplastic fibroma) | 骨的促结缔组织增生性纤维瘤(desmoplastic fibroma of bone) |
| -恶性(maligant) | -恶性(maligant) | |
| Mar-10 | 纤维肉瘤(fibrosarcoma) NOS | 骨的纤维肉瘤(fibrosarcoma of bone) |
| 骨血管肿瘤(vascular tumours of bone) | 骨血管肿瘤(vascular tumours of bone) | |
| -良性(benign) | -良性(benign) | |
| 9120/0 | 血管瘤(haemangioma) NOS | 血管瘤(haemangioma) |
| -中间型(局部侵袭性)(intermediate-locally aggressive) | -中间型(局部侵袭性，偶见转移型)(intermediate-locally aggressive，rarely metastasizing) | |
| 9125/0 | 上皮样血管瘤(epithelioid haemangioma) | 上皮样血管瘤(epithelioid haemangioma) |
| Mar-33 | -恶性(maligant) | -恶性(maligant) |
| Mar-20 | 上皮样血管内皮瘤(epithelioid haemangioendothelioma) | 上皮样血管内皮瘤(epithelioid haemangioendothelioma) |
| 血管肉瘤(angiosarcoma) | 血管肉瘤(angiosarcoma) | |
| 富含破骨性巨细胞的肿瘤(osteoclastic giant cell-rich tumours) | 富含破骨性巨细胞的肿瘤(osteoclastic giant cell-rich tumours) | |
| -良性(benign) | -良性(benign) | |
| 9260/0 | 动脉瘤样骨囊肿(aneurysmal bone cyst) | 小骨的巨细胞病变(giant cell lesion of the small bones) |
| 8830/0 | 非骨化性纤维瘤(none-ossifying fibroma) | |
| -中间型(局部侵袭性，偶见转移型)(intermediate-locally aggressive，rarely metastasizing) | -中间型(局部侵袭性，偶见转移型)(intermediate-locally aggressive，rarely metastasizing) | |
| Jan-50 | 骨巨细胞瘤(giant cell tumour of bone) NOS | 骨巨细胞瘤(giant cell tumour of bone) |
| -恶性(maligant) | -恶性(maligant) | |
| Mar-50 | 恶性骨巨细胞瘤(giant cell tumour of bone，malignant) | 恶性骨巨细胞瘤(malignancy in giant cell tumour of bone) |
| 脊索源性肿瘤(notochordal tumours) | 脊索源性肿瘤(notochordal tumours) | |
| -良性(benign) | -良性(benign) | |
| 9370/0 | 良性脊索样肿瘤(benign notochordal tumour) | 良性脊索组织肿瘤(benign notochordal tumour) |
| -恶性(maligant) | -恶性(maligant) | |
| Mar-70 | 脊索瘤(chordoma) NOS | 脊索瘤(chordoma） |
| 软骨样脊索瘤(chondroidchordoma) | ||
| Mar-70 | 分化差的脊索瘤(poorly differentiated chordoma) | |
| Mar-72 | 退分化脊索瘤(dedifferentiated chordoma) | |
| 骨的其他间叶性肿瘤(other mesenchymal tumours of bone) | 未明确肿瘤性质的肿瘤(tumours of undefined neoplastic nature) | |
| -良性(benign) | -良性(benign) | |
| 胸壁软骨间叶性错构瘤(chondromesenchymal hamartoma of chest wall) | 单纯性骨囊肿(simple bone cyst) | |
| 单纯性骨囊肿(simple bone cyst) | 纤维结构不良(fibrous dysplasia) | |
| 纤维结构不良(fibrous dysplasia) | 骨性纤维结构不良(osteofibrous dysplasia) | |
| 8818/0 | 骨性纤维结构不良(osteofibrous dysplasia) | 软骨间叶性错构瘤(chondromesenchymal hamartoma) |
| 脂肪瘤(lipoma) | 罗道病(Rosai-Dorfman disease) | |
| 8850/0 | 冬眠瘤(hibernoma) | -中间型(局部侵袭性)(intermediate-locally aggressive) |
| 8880/0 | -中间型(局部侵袭性)(intermediate-locally aggressive) | 动脉瘤样骨囊肿(aneurysmal bone cyst) |
| Jan-61 | 骨性纤维结构不良样釉质瘤(OFD样釉质瘤)(osteofibrous dysplasia-like adamantinoma) | 朗格汉斯细胞组织细胞增生症(langerhans cell histiocytosis) |
| 间质瘤(mesenchymoma) NOS | 单骨型(monostotic) | |
| Jan-90 | -恶性(maligant) | 多骨型(polystotic) |
| 长骨的釉质瘤(adamantinoma of long bones) | Erdheim-chester病(Erdheim-chester disease) | |
| Mar-61 | 退分化釉质瘤(dififferentianted adamantinoma) | |
| 平滑肌肉瘤(leiomyosarcoma) NOS | ||
| Mar-90 | 未分化多形性肉瘤(pleomorphic sarcoma，undifferentiated) | |
| Mar-02 | 骨转移瘤(bone metastases) | |
| 骨的造血系统肿瘤(haematopoietic neoplasms of bone) | 造血系统肿瘤(haematopoietic neoplasms) | |
| -恶性(maligant) | ||
| Mar-31 | 骨的浆细胞瘤(plasmacytoma of bone) | 浆细胞骨髓瘤(plasma cell myeloma) |
| Mar-91 | 恶性非何杰金淋巴瘤(malignant lymphoma，non-hodgkin) NOS | 骨的孤立性浆细胞瘤(solitary plasmacytoma of bone) |
| 何杰金病(hodgkin disease) NOS | 骨的原发非霍奇金淋巴瘤(primary non-hodgkin lymphoma of bone) | |
| Mar-50 | 弥漫性大B细胞淋巴瘤(diffuse large B-cell lymphoma) | |
| Mar-80 | 滤泡性淋巴瘤(follicular lymphoma) NOS | |
| Mar-90 | 边缘带B细胞淋巴瘤(marginal zone B-cell lymphoma) | |
| Mar-99 | T细胞淋巴瘤(T-cell lymphoma) NOS | |
| Mar-02 | 间变性大细胞淋巴瘤(anaplastic large cell lymphoma) NOS | |
| Mar-14 | 恶性淋巴瘤，淋巴母细胞性(malignant lymphoma，lymphoblastic) NOS | |
| Mar-27 | Burkitt淋巴瘤(burkitt lymphoma) NOS | |
| Mar-87 | 郎格罕细胞组织细胞增生症(langerhans cell histiocytosis) NOS | |
| Jan-51 | 弥漫性郎格罕细胞组织细胞增生症(langerhans cell histiocytosis，disseminated) | |
| Mar-51 | Erdheim-Chester病(erdheim-chester disease) | |
| Mar-49 | 罗道病(rosai-dorfman disease) | |
| 肌源性肿瘤(myogenic tumours) | ||
| -良性(benign) | ||
| 骨的平滑肌瘤(leiomyoma of bone) | ||
| -恶性(maligant) | ||
| 骨的平滑肌肉瘤(leiomyosarcoma of bone) | ||
| 脂肪源性肿瘤(lipogenic tumours) | ||
| -良性(benign) | ||
| 骨的脂肪瘤(lipoma of bone) | ||
| -恶性(maligant) | ||
| 骨的脂肪肉瘤(liposarcoma of bone) | ||
| 杂类肿瘤(miscellaneous tumours) | ||
| 尤文肉瘤(ewing sarcoma) | ||
| 釉质瘤(adamantinoma) | ||
| 骨的未分化高级别多形性肉瘤(undifferentiated high-grade pleomorphic sarcoma of bone) | ||
| 纤维组织细胞性肿瘤(fibrohistiocytic tumours) | ||
| 良性纤维组织细胞瘤/非骨化纤维瘤(benign fibrous histiocytoma/non-ossifying fibroma) | ||
| 注：良性肿瘤的编码为/0；未明确，交界性或不确定的肿瘤编码为/1；原位癌和Ⅲ级上皮内瘤变编码为/2；原发部位恶性肿瘤编码为/3。 | ||
《生命中不能承受之轻》——小字版本图片
文章作者 | 胡青牛
责任编辑 | 胡青牛
插图来源 | 作者提供
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