C62.11 Malignant neoplasm of descended right testis

Name of the Condition

• Malignant neoplasm of descended right testis

Summary

Malignant neoplasm of descended right testis refers to a cancerous growth originating in the right testicle that has descended into the scrotum. This condition is a type of genitourinary cancer that may affect hormonal function, fertility, and overall health if untreated. It can spread to nearby lymph nodes or other parts of the body.

Causes

The exact cause involves genetic mutations in testicular tissue leading to uncontrolled cell growth. Contributing factors may include environmental exposures and genetic predispositions.

Risk Factors

• Undescended testicle (cryptorchidism)
• Family history of testicular cancer
• Age, particularly between 15 and 35
• HIV infection
• Infertility
• Testicular atrophy
• Prior testicular cancer in one testicle

Symptoms

• Painless lump or swelling in the right testicle
• Dull ache or pain in the scrotum or groin
• Heaviness in the scrotum
• Sudden fluid collection in the scrotum
• Breast tenderness or enlargement
• Back pain (if cancer has spread)

Diagnosis

Diagnosis involves a physical examination by a healthcare provider, followed by an ultrasound of the scrotum to evaluate testicular abnormalities. Blood tests for tumor markers (e.g., alpha-fetoprotein, human chorionic gonadotropin) and a biopsy of the testicular tissue may confirm malignancy. Imaging tests such as CT scans or MRI may be used to assess spread.

Treatment Options

Treatment may include surgical removal of the testicle (orchiectomy), radiation therapy, chemotherapy, or a combination of these. The choice depends on the cancer type, stage, and patient health.

Prognosis and Follow-Up

Prognosis varies based on cancer type, stage, and response to treatment. Regular follow-up with imaging and blood tests is typically recommended to monitor for recurrence.

Complications

Complications may include metastasis to lymph nodes or other organs, infertility, hormonal imbalances, or side effects from treatment (e.g., fatigue, nausea, or infection risk).

Lifestyle & Prevention

While not all cases are preventable, regular self-exams and prompt evaluation of testicular abnormalities may aid early detection. Maintaining overall health supports recovery.

When to Seek Professional Help

Seek care if you notice a lump, swelling, pain, or other changes in the testicle or scrotum, or if symptoms persist or worsen.

Tips for Medical Coders

Use code C62.11 for malignant neoplasm of the descended right testis. Ensure documentation specifies the right testicle and confirms descent. Verify laterality and anatomical details to support accurate coding.