Malignant neoplasm of endocervix

ICD10CM code

#### Name of the Condition
- Malignant neoplasm of endocervix
- Commonly referred to as endocervical cancer

#### Summary
- Malignant neoplasm of the endocervix is a type of cancer that occurs in the endocervix, the inner part of the cervix that connects to the uterus. This condition involves the abnormal growth of cells that can invade or spread to other parts of the body.

#### Causes
- Primarily caused by persistent infection with high-risk types of human papillomavirus (HPV).
- Other genetic or environmental factors may also contribute to its development.

#### Risk Factors
- Persistent infection with HPV, particularly types 16 and 18.
- Early sexual activity, multiple sexual partners, and a history of sexually transmitted infections.
- Smoking and immunosuppression (e.g., HIV infection).
- Long-term use of oral contraceptives.
- Exposure to diethylstilbestrol (DES) in utero.

#### Symptoms
- Abnormal vaginal bleeding, such as bleeding after intercourse or between periods.
- Unusual vaginal discharge.
- Pelvic pain or pain during intercourse.

#### Diagnosis
- Pap smear to screen for cervical abnormalities.
- Colposcopy and cervical biopsy to examine cervical tissue.
- Imaging tests (e.g., MRI, CT scan) to assess cancer spread.

#### Treatment Options
- Surgery (e.g., hysterectomy) to remove the cancerous tissue.
- Radiation therapy to destroy cancer cells and shrink tumors.
- Chemotherapy to target and kill cancerous cells.
- Combined therapies for advanced stages.

#### Prognosis and Follow-Up
- Early detection generally leads to a better prognosis with higher survival rates.
- Regular follow-up appointments and screenings to monitor for recurrence or complications.

#### Complications
- If untreated, the cancer can spread to surrounding tissues and other parts of the body.
- Potential for fertility issues post-treatment if reproductive organs are affected.

#### Lifestyle & Prevention
- Routine Pap tests and HPV vaccinations to reduce the risk of developing cervical cancer.
- Safe sexual practices, such as using condoms and limiting the number of sexual partners.

#### When to Seek Professional Help
- Contact a healthcare provider if experiencing symptoms such as abnormal bleeding or pelvic pain.
- Urgent medical attention is required for severe or persistent symptoms.

#### Additional Resources
- National Cancer Institute ([cancer.gov](https://www.cancer.gov))
- American Cancer Society ([cancer.org](https://www.cancer.org))
- Cervical Cancer Coalition ([cervicalcancercoalition.org](https://www.cervicalcancercoalition.org))

#### Tips for Medical Coders
- Ensure correct coding by confirming the precise location and nature of the neoplasm.
- Avoid coding errors by distinguishing between endocervical and other cervical locations.