Kramárová E, Stiller C A
Cancer Research Institute, Slovak Academy of Sciences, Bratislava, Slovakia.
Int J Cancer. 1996 Dec 11;68(6):759-65. doi: 10.1002/(SICI)1097-0215(19961211)68:6<759::AID-IJC12>3.0.CO;2-W.
The International Classification of Childhood Cancer (ICCC) updates the widely used Birch and Marsden classification scheme. ICCC is based on the second edition of the International Classification of Diseases for Oncology (ICD-O-2). The purpose of the new classification is to accommodate important changes in recognition of different types of neoplasms, while preserving continuity with the original classification. The grouping of neoplasms into 12 main diagnostic groups is maintained. The major changes are: (1) intracranial and intraspinal germ-cell tumours now constitute a separate subgroup within germ-cell tumours; (2) histiocytosis X (Langerhans-cell histiocytosis) is excluded from ICCC; (3) Kaposi's sarcoma is a separate subgroup within soft-tissue sarcomas; (4) skin carcinoma is a separate subgroup within epithelial neoplasms; (5) "other specified" and "unspecified" neoplasms are now usually separate sub-categories within the main diagnostic groups. Draft copies of the ICCC were distributed to some 200 professionals with interest and expertise in the field and their comments are considered in this final version. This classification will be used for presentation of data in the second volume of the IARC Scientific Publication "International Incidence of Childhood Cancer." A computer programme for automated classification of childhood tumours coded according to ICD-O-1 or ICD-O-2 is now available from IARC.
国际儿童癌症分类（ICCC）更新了广泛使用的伯奇和马斯登分类方案。ICCC基于《国际肿瘤疾病分类》第二版（ICD - O - 2）。新分类的目的是适应在识别不同类型肿瘤方面的重要变化，同时保持与原分类的连续性。肿瘤被分为12个主要诊断组的分组方式得以保留。主要变化包括：（1）颅内和椎管内生殖细胞肿瘤现在在生殖细胞肿瘤中构成一个单独的亚组；（2）组织细胞增多症X（朗格汉斯细胞组织细胞增多症）被排除在ICCC之外；（3）卡波西肉瘤在软组织肉瘤中是一个单独的亚组；（4）皮肤癌在上皮性肿瘤中是一个单独的亚组；（5）“其他特定的”和“未特定的”肿瘤现在通常在主要诊断组内是单独的子类别。ICCC的草案分发给了该领域约200名有兴趣和专业知识的专业人员，本最终版本考虑了他们的意见。这种分类将用于在国际癌症研究机构（IARC）科学出版物《儿童癌症国际发病率》第二卷中呈现数据。现在可从IARC获得一个根据ICD - O - 1或ICD - O - 2编码对儿童肿瘤进行自动分类的计算机程序。
