ICD-9対応の普通保険約款の規定では、上皮内癌に相当する腫瘍病変については手術給付金非該当となっています。また、特定疾病保険金についても同様の規定となっているものがあります。手術後の最終病理組織診断が重要となるため、乳腺腫瘍についてWHO分類(Blue Book)をまとめておきます。
Precursor lesions
Ductala carcinoma in situ 8500/2
Lobulara neoplasia
Lobulara carcinoma in situ
Classic lobular carcinoma in situ 8520/2
Plemorphic lobular carcinoma in situ 8519/2*
Atypical lobular hyperplasia
Intraductal proliferative lesions
Usual ductal hyperplasia
Columnar cell lesions including flat epithelial hyperplasia
Atypical ductal hyperplasia
Papillary lesions
Intraductal papilloma 8503/0
Intraductal papilloma with atypical hyperplasia 8503/0
Intraductal papilloma with ductal carcinoma in situ 8503/2*
Intraductal papilloma with lobular carcinoma in situ 8520/2
Intraductal papillary carcinoma 8503/2
Encapsulated papilary carcinoma 8504/2
Encapsulated papillary carcinoma with invasion 8504/3
Solid papillary carcinoma
In situ 8509/2
Invasive 8509/3
*もちろん浸潤性(invasive)とあれば、/3となります。
(参考)
Hans-Peter Sinn, et. al., Breast Care, 2013;8;149-154
Precursor lesions
Ductala carcinoma in situ 8500/2
Lobulara neoplasia
Lobulara carcinoma in situ
Classic lobular carcinoma in situ 8520/2
Plemorphic lobular carcinoma in situ 8519/2*
Atypical lobular hyperplasia
Intraductal proliferative lesions
Usual ductal hyperplasia
Columnar cell lesions including flat epithelial hyperplasia
Atypical ductal hyperplasia
Papillary lesions
Intraductal papilloma 8503/0
Intraductal papilloma with atypical hyperplasia 8503/0
Intraductal papilloma with ductal carcinoma in situ 8503/2*
Intraductal papilloma with lobular carcinoma in situ 8520/2
Intraductal papillary carcinoma 8503/2
Encapsulated papilary carcinoma 8504/2
Encapsulated papillary carcinoma with invasion 8504/3
Solid papillary carcinoma
In situ 8509/2
Invasive 8509/3
*もちろん浸潤性(invasive)とあれば、/3となります。
(参考)
Hans-Peter Sinn, et. al., Breast Care, 2013;8;149-154