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[Primary malignant pleural neoplasms. Diagnostic code 163.09].

B N Jensen1, K Viskum

  • 1Lungemedicinsk afdeling P. Bispebjerg Hospital, København.

Ugeskrift for Laeger
|November 30, 1992
PubMed
Summary
This summary is machine-generated.

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Code 163.09 for malignant mesothelioma is often a working diagnosis. Accurate occupational history and biopsies are crucial for correct diagnosis and asbestos compensation claims.

Area of Science:

  • Pulmonology
  • Oncology
  • Occupational Medicine

Context:

  • Code 163.09, indicating malignant pleural neoplasm, was used for 173 patients over 8.5 years.
  • Reinvestigation involved repeated biopsies, disease course analysis, and autopsies for diagnostic confirmation.

Purpose:

  • To evaluate the accuracy of code 163.09 for malignant mesothelioma.
  • To assess the completeness of occupational history, particularly asbestos exposure, in patients with suspected malignant mesothelioma.
  • To determine the appropriateness of notifications to the workmen's compensation board.

Summary:

  • Of 173 patients initially coded 163.09, only 63 were confirmed malignant mesothelioma; others had secondary cancers, benign changes, or missing records.
  • Occupational history for asbestos exposure was incomplete in many confirmed mesothelioma cases.

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  • Discrepancies were found in workmen's compensation board notifications, with both under- and over-notification.

    • Impact:

    • Highlights frequent misdiagnosis or provisional diagnosis using code 163.09.
    • Emphasizes the critical need for thorough occupational history and aggressive biopsy procedures in suspected malignant mesothelioma cases.
    • Suggests improvements in diagnostic protocols and compensation claim processes for asbestos-related diseases.