1. (1) All confirmed cancers with a behavior code of "2" (in situ) or "3" (malignant)or benign brain-related tumors with a behavior code of “0" (benign) or “1" (uncertain behavior) in the current International Classification of Diseases for Oncology (ICD-O) edition, and subsequent editions, must be reported. However, the following skin cancers and carcinoma in situ of the cervix uteri, as coded in ICD-O, are excluded from reporting:

   1. (a) 8000-8004 Neoplasms, malignant, NOS (not otherwise specified) of the skin (C44.0-C44.9)
   2. (b) 8010-8045 Epithelial carcinomas of the skin (C44.0-C44.9)
   3. (c) 8050-8082 Papillary and squamous cell carcinomas of the skin (C44.0-C44.9)
   4. (d) 8090-8110 Basal cell carcinomas of any site except genital sites NOTE: Skin cancers in the genital sites (vagina, clitoris, labium, vulva, prepuce, penis, and scrotum ) ARE REPORTABLE since they are more likely to metastasize than the usual carcinomas of the skin. (These cancers are reportable both nationally and internationally.)
   5. (e) 8010/2 Carcinoma in situ, NOS and intraepithelial carcinoma, NOS of the cervix uteri (C53.0-C53.9)
   6. (f) 8070/2 Squamous cell carcinoma in situ, NOS, epidermoid carcinoma in situ, NOS, intraepidermal carcinoma, NOS, and intraepithelial squamous cell carcinoma of the cervix uteri (C53.0-C53.9)
2. (2) A report shall also be given for each subsequent primary cancer or benign brain-related tumor diagnosed in an individual. If it cannot be decided whether a case should be reported, the ASCR should be contacted for guidance.
3. (3) All reports of confirmed cases of cancer or benign brain-related tumor shall include but not be limited to the data items, including treatment and patient follow-up information, listed in the ASCR Data Acquisition Manual.

Author: Reda Wilson

Statutory Authority: Code of Ala. 1975, §22-13-1.

History: New Rule: Filed November 17, 1995; effective December 22, 1995. Amended: Filed November 19, 2004; effective December 24, 2004.