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Soft Tissue Sarcoma B009

Document
Last amended 
25 June 2015
Current RMA Instruments:
Reasonable Hypothesis SOP
5 of 2015
Balance of Probabilities SOP
6 of 2015
Changes from Previous Instruments:

SOP Bulletin 179

ICD Coding
  • ICD-9-CM Codes: 155.01, 155.02, 158.0, 160.0, 161.3, 171, 171.0, 171.2, 171.3, 171.4, 171.5, 171.6, 171.7, 171.8, 171.9
  • ICD-10-AM Codes: C22.3, C22.4, C30.0, C32.3, C47, C48, C49

This is a primary malignant neoplasm affecting the connective tissue (muscle, tendon, ligaments, dermis, and cartilage) of the body not being part of the skeleton structure.  This is a malignancy of the flesh (Greek – Sark) rather than of the lining or epithelium which is a carcinoma and the sarcoma is less common that the carcinoma.

Is specific diagnostic evidence required to apply the SOP?Yes.

This diagnosis is based on histopathology of a biopsy or excised lesion.

Are there sub-factors that require specific diagnostic information? – Yes. 

For a number of factors the primary site and / or histological type of sarcoma needs to be known.

Additional diagnoses covered by SOP
  • angiosarcoma
  • atypical fibroxanthoma
  • chondrosarcoma of non-skeletal cartilage (nose, ear etc)
  • haemangiosarcoma
  • leiomyosarcoma
  • liposarcoma
  • lymphangiosarcoma
  • malignant fibrous histiocytoma
  • malignant mixed mullerian tumours
  • malignant nerve sheath tumour
  • malignant schwannoma
  • mullerian adenosarcoma
  • neurosarcoma
  • rhabdomyosarcoma
  • synovial sarcoma
Conditions not covered by SOP
  • chondrosarcoma - skeletal, ICD 9 code 170.9
  • Ewing sarcoma, ICD 9 code 170.9
  • Kaposi’s sarcoma, ICD 9 code 176.9
  • lymphosarcoma, ICD 9 code 200.1
  • mesothelioma, ICD 9 code 158.8, 158.9, 163 or 164.1
  • osteosarcoma, ICD 9 code 170.9
  • reticulosarcoma, ICD 9 code 200.0
  • Benign neoplasms – meningioma, neuroma
  • Haemopoetic neoplasia – leukaemia
  • Hodgkin’s lymphoma
  • Malignant neoplasm of articular cartilage
  • Malignant neoplasm of bone
  • Malignant neoplasm of brain or cerebral meninges
  • Malignant neoplasm of larynx
  • Non-Hodgkin’s lymphoma
Unconfirmed diagnosis

If, after applying the above information, you are unable to confirm the diagnosis, you should then seek medical officer advice about further investigation.