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Produced: 01/14/2025 5:23 PM
Question 20140082
Inquiry Details
References:
Subject matter expert
Question:
MP/H Rules/Histology--Testis: How should histology be coded for a testicular teratoma with somatic type malignancy (adenocarcinoma)? See discussion.
Discussion:
11/8/2013 Rt orchiectomy: teratoma with somatic type malignancy (adenocarcinoma).
5/2/2014 Abdominal mass excision: metastatic teratoma involving matted lymph nodes. Patient age at diagnosis is 31.
Per web search, a teratoma with somatic type malignancy is a rare type of tumor. Should the histology be coded to 8140/3? This seems to conflict with SINQ 20120085, which indicates a testicular mature teratoma in an adult is malignant, and in this example, it was also the portion of tumor that metastasized.
Answer:
Assign code 9084/3, listed in ICDO as teratoma with malignant transformation.
Our expert pathologist consultant states that this is a very rare situation. The non-germ cell components are believed to arise out of the teratoma portions, and are seen in only of few percent of teratomas. They are given the designation "teratoma with somatic type malignancies" (WHO).
