C81.74 Other Hodgkin lymphoma, lymph nodes of axilla and upper limb

ICD10CM code

#### Name of the Condition
- Other Hodgkin lymphoma, lymph nodes of axilla and upper limb (ICD Code: C81.74)

#### Summary
- Other Hodgkin lymphoma affecting the lymph nodes in the axilla (armpit) and upper limb is a type of cancer originating from specific white blood cells known as lymphocytes. This condition represents a subset of Hodgkin lymphoma with a specific anatomical focus.

#### Causes
- The exact cause is unknown, but it is believed to result from a combination of genetic predisposition and environmental factors. 
- Viral infections such as Epstein-Barr virus (EBV) have been associated with increased risk.

#### Risk Factors
- Age: Most common in early adulthood (15-40 years) and late adulthood (over 55).
- Family history of lymphoma.
- Previous infection with EBV.
- Weakened immune system.

#### Symptoms
- Painless swelling of lymph nodes in the armpit area.
- Fatigue, fever, and night sweats.
- Unexplained weight loss and itchy skin.

#### Diagnosis
- Physical examination of swollen lymph nodes.
- Biopsy of affected lymph nodes to identify cancerous cells.
- Imaging tests like CT or PET scans to assess the spread.

#### Treatment Options
- Chemotherapy: Uses drugs to kill cancer cells.
- Radiation Therapy: High-energy beams to target cancer within the lymph nodes.
- Stem Cell Transplant: Replaces damaged bone marrow with healthy cells.
- Each treatment aims to eradicate cancer cells and reduce symptoms.

#### Prognosis and Follow-Up
- Prognosis depends on the stage and response to treatment but is generally favorable with early detection.
- Regular follow-up is essential to monitor for recurrence or complications.

#### Complications
- If untreated, may lead to the spread to other lymph nodes and organs.
- Treatment-related side effects like infection risk, and heart or lung problems.

#### Lifestyle & Prevention
- Adopt a healthy lifestyle with a balanced diet and regular exercise.
- Minimize infection risks by maintaining good hygiene and vaccinations.

#### When to Seek Professional Help
- Persisting swollen nodes, unexplained weight loss, or severe night sweats warrant immediate medical attention.

#### Additional Resources
- American Cancer Society (www.cancer.org)
- Lymphoma Research Foundation (www.lymphoma.org)
- National Cancer Institute (www.cancer.gov)

#### Tips for Medical Coders
- Ensure the code C81.74 is used to specify the axilla and upper limb lymph node involvement.
- Avoid confusion with other Hodgkin lymphoma codes that specify different affected areas.

Medical Policies and Guidelines for Other Hodgkin lymphoma, lymph nodes of axilla and upper limb

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