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Malignant neoplasm of right ovary
ICD10CM code
#### Name of the Condition
- Malignant neoplasm of right ovary
- Ovarian cancer, with specific involvement of the right ovary
#### Summary
Malignant neoplasm of the right ovary, also known as ovarian cancer, is a type of cancer that originates in the ovaries, specifically affecting the right ovary in this case. It involves the abnormal and uncontrolled growth of cells that may spread to other parts of the body if not treated.
#### Causes
The exact cause of ovarian cancer is often unclear, but several factors are believed to contribute, including genetic mutations such as BRCA1 and BRCA2, age, family history, and hormonal influences.
#### Risk Factors
- Age: Most common in women over 50
- Family history: Having relatives with ovarian, breast, or colorectal cancer
- Genetic mutations: BRCA1 or BRCA2
- Reproductive history: Early menstruation or late menopause
- Lifestyle factors: Obesity, post-menopausal hormone replacement therapy
#### Symptoms
- Abdominal bloating or swelling
- Pelvic pain or discomfort
- Changes in bowel habits, such as constipation
- Frequent urination
- Loss of appetite or feeling full quickly
#### Diagnosis
- Pelvic examination
- Imaging tests like ultrasound or CT scans
- Blood tests, including CA-125 marker test
- Biopsy to confirm the presence of cancer cells
#### Treatment Options
- Surgery to remove the tumor and possibly the ovary
- Chemotherapy to kill or stop the growth of cancer cells
- Targeted therapy that focuses on specific genetic changes in cancer cells
- Radiation therapy in certain cases
#### Prognosis and Follow-Up
The prognosis depends on the stage at which the cancer is diagnosed. Early detection generally leads to a better outcome. Regular follow-up is crucial to monitor for recurrence and manage any residual side effects of treatment.
#### Complications
Without treatment, ovarian cancer can spread to other parts of the body, such as the abdomen and pelvis. This can lead to severe complications including bowel obstruction, lymph node involvement, and metastasis.
#### Lifestyle & Prevention
- Maintaining a healthy weight and diet
- Considering oral contraceptives, which have been associated with a reduced risk
- Genetic counseling and testing if there's a significant family history
#### When to Seek Professional Help
Seek immediate medical attention if experiencing persistent symptoms like severe abdominal pain, unexplained weight loss, or significant changes in menstrual cycles.
#### Additional Resources
- American Cancer Society: [cancer.org](https://www.cancer.org)
- Ovarian Cancer Research Alliance: [ocrahope.org](https://ocrahope.org)
#### Tips for Medical Coders
- Ensure accurate coding by confirming the laterality as right ovarian cancer (C56.1).
- Double-check for any documented metastasis or recurrence as these may affect coding.
- Avoid errors by verifying patient records for any genetic testing indicating BRCA mutations.