전반부에는 암에 대한 기본 이론지식을 수록하여 현장실습 또는 취업현장에서 암등록 업무를 수행하기 위해

필요한 이론적 지식을 습득하고, 그것을 실무에 어떻게 적용하는지를 충분히 익힐 수 있도록 하였으며,

후반부에서는 실제 현장에서 이루어지고 있는 업무와 관련된 실제적인 내용을 상세하게 실었다.

• CHAPTER 01 암에 대한 이해
• 제01절 종양과 암의 정의···············································································································3
• 제02절 암의 분류······························································································································4
• 1. 상피성 종양·································································································································· 5
• 2. 비상피성 종양····························································································································· 7
• 3. 장기별 암의 발생빈도·············································································································· 8
• 4. 암의 발생원인····························································································································· 8
• 제03절 분화도 및 등급···················································································································9
• 제04절 암의 병기결정·················································································································· 10
• 제05절 암의 병기결정에 사용되는 분류체계······································································· 10
• 1. TNM System··························································································································10
• 2. SEER Summary Staging·································································································12
• 3. The Ann Arbor Staging System with Cotswolds Modifications··············15
• 4. International Federation of Gynecology and Obstetrics······························16
• 5. Dukes’ Classification········································································································18
• 6. Classification of Melanoma··························································································19
• 7. Jewett-Whitmore Staging Classification······························································20
• 제06절 종양표지자······················································································································· 21
• 1. 종양표지자 검사의 의의········································································································21
• 2. 종양표지자의 종류··················································································································22
• 3. 종양표지자의 장기 특이성···································································································27
• 4. 종양표지자 수치의 생리적 변동 인자··············································································28
• 5. 암의 원발장기와 종양표지자의 조합················································································29
• CHAPTER 02 암등록사업
• 제01절 암등록································································································································ 35
• 1. 도입 배경 및 필요성···············································································································35
• 2. 암등록의 종류···························································································································36
• 제02절 암등록사업의 역사········································································································· 38
• 1. 유럽과 미국의 암등록 역사··································································································38
• 2. 우리나라의 암등록 역사········································································································39
• 제03절 우리나라의 암등록사업································································································ 42
• 1. 목적과 법적 근거·····················································································································42
• 2. 운영 주체 및 역할···················································································································42
• 3. 암등록통계사업의 절차 ········································································································45
• 제04절 국가암등록통계시스템································································································· 47
• 1. 암등록 조사서···························································································································47
• 2. 국가암등록통계시스템···········································································································49
• CHAPTER 03 일반적 암등록 지침(항목별)
• 제01절 암환자 색출 방법············································································································ 59
• 1. 암환자 색출을 위한 자료원··································································································59
• 2. 암환자 색출 시 검토해야 하는 한국표준질병사인분류··············································60
• 제02절 암등록 대상······················································································································ 62
• 1. 등록 대상과 비등록 대상······································································································62
• 2. 암등록 원칙································································································································62
• 제03절 암등록 항목······················································································································ 64
• 1. 암등록 시 기재 항목···············································································································64
• 제04절 다중원발암·····················································································································102
• 1. 다중원발암의 개요··············································································································· 102
• 2. IARC/IACR 규칙·················································································································· 103
• 3. 동일 장기군과 동일 조직소견군······················································································ 104
• 4. ICD-O-3의 조혈계 악성종양···························································································· 106
• 5. 조혈계 악성종양의 다중원발암 구분············································································· 107
• 제05절 뇌종양 등록····················································································································113
• 1. 뇌종양 등록 범위·················································································································· 113
• 2. WHO 분류 진단명 중 뇌종양 등록에 해당되는 암종·············································· 115
• 제06절 ICD-10과 ICD-O의 비교··························································································117
• 1. ICD-10과 ICD-O의 범주··································································································· 117
• CHAPTER 04 암에 대한 임상지식
• 제01절 위암···································································································································123
• 1. 위의 구조와 기능·················································································································· 123
• 2. 분류 코드································································································································· 124
• 3. 역학 및 병인··························································································································· 125
• 4. 진단방법··································································································································· 127
• 5. 치료방법··································································································································· 129
• 6. 실무예제··································································································································· 132
• 제02절 대장암······························································································································135
• 1. 대장의 구조와 기능·············································································································· 135
• 2. 분류 코드································································································································· 136
• 3. 대장암의 정의························································································································ 137
• 4. 역학 및 병인··························································································································· 138
• 5. 진단방법··································································································································· 142
• 6. 치료방법··································································································································· 148
• 7. 직장암······································································································································· 150
• 8. 항암화학요법·························································································································· 151
• 9. 방사선 치료····························································································································· 153
• 10. 대장암의 예방법················································································································· 153
• 11. 대장암 관련 통계··············································································································· 155
• 12. 실무예제································································································································ 156
• 제03절 간암···································································································································158
• 1. 간의 구조와 기능·················································································································· 158
• 2. 분류 코드································································································································· 159
• 3. 간암의 정의 및 종류············································································································ 160
• 4. 역학 및 병인··························································································································· 161
• 5. 진단방법··································································································································· 164
• 6. 치료방법··································································································································· 164
• 7. 간암의 예방법························································································································ 168
• 8. 간암 관련 통계······················································································································ 170
• 9. 세계 현황································································································································· 171
• 10. 실무예제································································································································ 172
• 제04절 폐암···································································································································174
• 1. 폐의 구조와 기능·················································································································· 174
• 2. 분류 코드································································································································· 175
• 3. 폐암의 정의 및 종류············································································································ 176
• 4. 역학 및 병인··························································································································· 177
• 5. 진단방법··································································································································· 181
• 6. 치료방법··································································································································· 183
• 7. 예방방법··································································································································· 187
• 8. 폐암 관련 통계······················································································································ 188
• 9. 실무예제··································································································································· 189
• 제05절 유방암······························································································································191
• 1. 유방의 구조와 기능·············································································································· 191
• 2. 분류 코드································································································································· 191
• 3. 역학 및 병인··························································································································· 193
• 4. 진단방법··································································································································· 195
• 5. 치료방법··································································································································· 197
• 6. 실무예제··································································································································· 199
• 제06절 자궁경부암·····················································································································202
• 1. 자궁의 구조와 기능·············································································································· 202
• 2. 분류 코드································································································································· 202
• 3. 역학 및 병인··························································································································· 203
• 4. 진단방법··································································································································· 204
• 5. 치료방법··································································································································· 206
• 6. 실무예제··································································································································· 207
• 제07절 난소암······························································································································210
• 1. 난소의 구조와 기능·············································································································· 210
• 2. 분류 코드································································································································· 210
• 3. 역학 및 병인··························································································································· 211
• 4. 진단방법··································································································································· 212
• 5. 치료방법··································································································································· 214
• 6. 실무예제··································································································································· 215
• 제08절 방광암······························································································································218
• 1. 방광의 위치와 기능·············································································································· 218
• 2. 분류 코드································································································································· 218
• 3. 역학 및 병인··························································································································· 219
• 4. 진단방법··································································································································· 221
• 5. 치료방법··································································································································· 222
• 6. 실무예제··································································································································· 225
• 제09절 전립샘암··························································································································227
• 1. 전립샘의 구조와 기능········································································································· 227
• 2. 분류 코드································································································································· 227
• 3. 역학 및 병인··························································································································· 228
• 4. 진단방법··································································································································· 231
• 5. 치료방법··································································································································· 233
• 6. 실무예제··································································································································· 235
• 제10절 혈액암(백혈병, 림프종, 골수종)··············································································238
• 급성 골수성 백혈병···················································································································· 239
• 급성 림프구성 백혈병·············································································································· 242
• 만성 골수성 백혈병··················································································································· 244
• 다발성 골수종····························································································································· 247
• 제11절 악성림프종·····················································································································251
• 1. 림프절의 위치 및 기능········································································································ 251
• 2. 분류 코드································································································································· 252
• 3. 역학 및 병인··························································································································· 252
• 4. 진단방법··································································································································· 255
• 5. 치료방법··································································································································· 255
• 6. 실무예제··································································································································· 256
• CHAPTER 05 암등록 자료의 질 관리와 통계
• 제01절 암등록 자료····················································································································261
• 제02절 완벽성······························································································································262
• 1. 자료 소스································································································································· 262
• 2. 사망 : 발생비························································································································· 264
• 3. 역사적 자료 방법·················································································································· 265
• 제03절 타당성······························································································································265
• 1. 진단 기준 방법······················································································································ 266
• 2. 결측 정보································································································································· 268
• 3. 재발췌 및 재코딩·················································································································· 271
• 4. 내적 일관성 방법·················································································································· 271
• 제04절 한국 중앙암등록본부 질 관리··················································································276
• 1. 프로그램 설명························································································································ 276
• 2. 자료정리 주의 사항·············································································································· 279
• 제05절 암등록 통계····················································································································295
• 1. 암통계 관련 용어 정의········································································································ 295
• 2. 암발생률··································································································································· 298
• 3. 암사망률··································································································································· 299
• 4. 암생존율··································································································································· 299
• 5. 암유병자수······························································································································ 299
• 부 록··························································································································301
• 찾아보기··························································································································313