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Malignant neoplasm of central portion of left female breast

ICD10CM code

Name of the Condition

  • Malignant Neoplasm of Central Portion of Left Female Breast
  • Also known as Left Breast Cancer, Central Portion

Summary

  • This condition refers to a malignant tumor located in the central portion of a woman's left breast. It involves the uncontrolled growth and spread of abnormal cells that can potentially invade other parts of the body.

Causes

  • Genetic factors: Mutations in genes such as BRCA1 and BRCA2.
  • Hormonal factors: Prolonged exposure to estrogen and progesterone.
  • Environmental causes: Radiation exposure and certain chemical exposures.
  • Lifestyle factors: Obesity, alcohol consumption, and lack of physical activity.

Risk Factors

  • Age: Increased risk for women over 50.
  • Family history: A history of breast cancer in close relatives.
  • Genetic predisposition: Inherited gene mutations.
  • Reproductive history: Early menstruation or late menopause, having the first child after 30, or never having a child.

Symptoms

  • A lump or mass in the breast.
  • Changes in the size or shape of the breast.
  • Dimpling or puckering of the skin.
  • Nipple discharge or inversion.
  • Redness or scaliness of the breast or nipple skin.

Diagnosis

  • Screening mammogram: X-ray of the breast.
  • Ultrasound: To characterize breast lumps.
  • Biopsy: Removing tissue for lab analysis.
  • MRI: Detailed imaging to assess the extent of cancer.

Treatment Options

  • Surgery: Lumpectomy or mastectomy to remove cancerous tissue.
  • Radiation therapy: Targets and kills cancer cells post-surgery.
  • Chemotherapy: Uses drugs to eliminate cancer cells.
  • Hormone therapy: Blocks hormones that support cancer growth.
  • Targeted therapy: Targets specific characteristics of cancer cells.

Prognosis and Follow-Up

  • Prognosis: Varies based on stage at diagnosis and response to treatment. Early detection generally leads to better outcomes.
  • Follow-Up: Regular follow-up appointments are critical to monitor for recurrence and manage any ongoing symptoms.

Complications

  • Metastasis: Spread to other parts of the body such as bones, liver, or lungs.
  • Lymphedema: Swelling due to lymph node removal.
  • Recurrence: Risk of cancer returning after treatment.

Lifestyle & Prevention

  • Diet: Maintain a healthy diet rich in fruits and vegetables.
  • Exercise: Regular physical activity helps reduce risk.
  • Screening: Adhere to recommended screenings and self-examinations.
  • Avoid alcohol: Limiting alcohol consumption.

When to Seek Professional Help

  • If you notice a new breast lump or changes in the breast.
  • Persistent breast pain or changes in breast skin appearance.
  • Any of the above symptoms lasting more than a week.

Additional Resources

Tips for Medical Coders

  • Ensure accurate laterality coding (left breast).
  • Double-check the precise location (central portion) to avoid miscoding.
  • Verify any additional modifiers related to patient history or concurrent conditions.

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