If you want to learn ovarian cancer icd 9 code please read this article
Ovarian Cancer Overview
Ovarian cancer is characterized by the malignant growth of one or of the two ovaries. The cells in the ovary multiply progressively and abnormally to the point that they can no longer be controlled. As a result, excessive tissues start to form tumors, which may be benign or malignant. The malignant ones are those that cause cancer.
The growth of the tumor may not necessarily start from the ovary or the ovaries, but may have spread to the ovary from other parts of the body, oftentimes the breast. The malignant tumor in the ovary may likewise spread to other parts of the body. The most common cases of ovarian cancer arise from epithelial cancer, which affect the epithelial cells (cells found in the tissues covering surfaces of the ovary).
Coding for Ovarian Cancer
The AHA Coding Clinic for ICD-9-CM code assignments for neoplasm of the ovary are as follows:
• Primary malignant — 183.0;
• Secondary malignant — 198.6;
• Carcinoma in situ — 233.3;
• Benign neoplasm — 220;
• Uncertain behavior — 236.2; and
• Unspecified — 239.5.
Symptoms of Ovarian Cancer
It is important for women to be aware of the nature and symptoms of ovarian cancer as this deadly cancer can affect women of any age. However, women face higher risk of ovarian cancer as she gets older, particularly after she reaches the age of fifty.
Most of the time, the symptoms of ovarian cancer do not show up until the cancer is widespread or in its advanced stage. This makes a woman at higher risk since it can be too late before she may be able to detect symptoms of ovarian cancer. Moreover, there are only very few symptoms of the cancer, which may be mistaken as symptoms of other health conditions.
The very first symptom of ovarian cancer is vague abdominal discomfort and bloating, which is caused by the excess fluid in the abdominal cavity. One always feels full even when she has not eaten much. As time passes by the swelling of the abdomen intensifies that some of your clothes may no longer fit you. Usually, it is because of this unusual swelling (way different from a woman’s monthly water retention) that most women go to the doctor for check up.
Bloating is accompanied by digestive disturbances, unexplained changes in the bowel habits and urinary patterns. There are frequent trips to the bathroom even in the absence of a urinary tract infection or other health problems. One may feel nauseous, very tired and she may feel like vomiting at times. She may also feel discomfort and pain during an intercourse.
Pain and swelling in the pelvic area is also noticeable upon closer physical examination. This is due to the swelling in the pelvis. In very rare instances, a woman in her postmenopausal stage experiences abnormal bleeding.
Other vague and non-specific symptoms of ovarian cancer include back and leg pain, loss of appetite, undernourished appearance, weight gain or weigh loss, and unusual bleeding in the vagina (heavier and longer than the usual menstrual bleeding).
Ovarian Cancer Treatment
Surgery is usually ensued by radiotherapy, which is the use of high energy radiation to destroy malignant cancer cells in the body and shrink remaining tumors, which may later on become malignant. This procedure may be done using an external machine or a radioactive material put inside the body near the malignant cells.
The patient also undergoes chemotherapy, whereby the patient is given anti-cancer drugs to help hasten up ovarian cancer treatment. Drugs may be administered orally (through the mouth), intravenously (through the veins) or through the muscles (by means of injection of a needle.
Most anticancer drugs given to the patient have chemical compounds that are toxic to the malignant cells; thus, growth of the cancer cells is reduced or stopped. These anticancer drugs are called cytotoxic drugs. Other anticancer drugs used are synthetic forms of sex hormones such as androgen drugs and progesterone drugs.
In most instances, different kinds of anticancer drugs are prescribed in combination in order to speed up ovarian cancer treatment. However, not all ovarian cancer patients are given with the same anticancer drugs. The drugs given to a patient depends on the extent or stage of development of the ovarian cancer and her general health condition.
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