Name of the Condition

• Secondary and Unspecified Malignant Neoplasm of Intrapelvic Lymph Nodes
  Commonly referred to as metastatic cancer in the intrapelvic lymph nodes.

Summary

• This condition involves cancerous tumors that have spread to the lymph nodes located within the pelvic region. These secondary tumors originate from primary cancers elsewhere in the body, making management complex.

Causes

• The primary cause is the metastasis of cancer cells from another part of the body. Common primary sites include cancers of the prostate, bladder, rectum, or cervix.

Risk Factors

• The main risk factor is having a primary cancer that is known to spread to pelvic lymph nodes. Other factors include advanced age, family history of cancer, and lifestyle factors such as smoking and poor diet.

Symptoms

• Symptoms may include swelling or a mass in the pelvic area, pelvic pain, unintentional weight loss, and sometimes symptoms related to the primary cancer site.

Diagnosis

• Diagnosis typically involves imaging tests like CT or MRI scans, PET scans, and lymph node biopsy to confirm the presence and origin of the malignant cells.

Treatment Options

• Treatment may involve surgery, radiation therapy, chemotherapy, or targeted therapy, depending on the cancer’s origin and extent. Each treatment aims to control the spread of cancer and alleviate symptoms.

Prognosis and Follow-Up

• Prognosis depends on the primary cancer type and how extensively it has spread. Early detection and treatment of the primary cancer can improve outcomes. Regular follow-ups are crucial for monitoring treatment effectiveness and detecting any recurrence.

Complications

• Possible complications include further spread of the cancer to other parts of the body, organ dysfunction, and impacts on quality of life due to treatment side effects.

Lifestyle & Prevention

• While prevention is challenging for metastasized cancer, maintaining a healthy lifestyle might reduce the risk of primary cancers. This includes a balanced diet, regular exercise, avoiding smoking, and moderating alcohol intake.

When to Seek Professional Help

• Immediate medical attention should be sought for symptoms like unexplained pelvic pain, persistent swelling in the groin or pelvic area, and significant weight loss.

Additional Resources

• American Cancer Society
• National Cancer Institute

Tips for Medical Coders

• Ensure accurate linkage of this code to the primary cancer site when known.
• Avoid confusion with primary malignant neoplasms of the pelvic area by double-checking patient history and cancer treatment records.