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Malignant neoplasm of lower-outer quadrant of right female breast

ICD10CM code

Name of the Condition

  • Malignant neoplasm of lower-outer quadrant of right female breast
  • Also known as: Right breast cancer in the lower-outer quadrant, Breast carcinoma.

Summary

  • This condition refers to a type of breast cancer located in the lower-outer quadrant of the right breast. It's a malignant growth of cells that can potentially spread to other parts of the body if not treated.

Causes

  • The exact cause is not always clear but may involve a combination of genetic mutations, hormonal changes, and environmental factors.

Risk Factors

  • Age (most common in women over 50)
  • Family history of breast cancer
  • Genetic mutations (e.g., BRCA1 and BRCA2)
  • Hormonal factors such as early menstruation or late menopause
  • Lifestyle factors like smoking, alcohol consumption, and obesity.

Symptoms

  • A lump or thickening in the breast or underarm area
  • Changes in the size or shape of the breast
  • Dimpling or irritation of breast skin
  • Nipple discharge or inversion
  • Redness or flaky skin in the nipple area.

Diagnosis

  • Mammography: X-ray of the breast to identify abnormalities.
  • Ultrasound or MRI: To further evaluate the breast tissue.
  • Biopsy: Removal of tissue sample for pathological examination.
  • Genetic testing: For those with a family history.

Treatment Options

  • Surgery: Lumpectomy or mastectomy to remove the tumor.
  • Radiation therapy: To destroy any remaining cancer cells post-surgery.
  • Chemotherapy: Oral or intravenous cancer-fighting drugs.
  • Hormonal therapy: For cancers sensitive to hormones like estrogen.
  • Targeted therapy: Drugs that target specific characteristics of cancer cells.

Prognosis and Follow-Up

  • Prognosis depends on the stage and aggressiveness of the cancer at diagnosis.
  • Regular follow-ups and monitoring, including imaging and blood tests, are crucial for detecting recurrence.

Complications

  • Metastasis (spread to other body parts)
  • Lymphedema (swelling due to lymph node removal)
  • Psychological impact of diagnosis and treatment.

Lifestyle & Prevention

  • Maintain a healthy weight and active lifestyle.
  • Limit alcohol consumption.
  • Consider genetic counseling if at high risk.
  • Regular self-exams and screening mammograms.

When to Seek Professional Help

  • Noticeable lumps or changes in breast appearance.
  • Persistent breast pain or nipple discharge.
  • Any new, unusual breast symptoms.

Additional Resources

  • American Cancer Society (cancer.org)
  • National Breast Cancer Foundation (nationalbreastcancer.org)
  • Breast Cancer Now (breastcancernow.org)

Tips for Medical Coders

  • Ensure laterality (right breast) is specified in the documentation.
  • Accurately distinguish between malignant and benign conditions.
  • Double-check quadrant location (lower-outer) to avoid misclassification.

Medical Policies and Guidelines for Malignant neoplasm of lower-outer quadrant of right female breast

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