Sebaceous cell carcinoma of skin of right upper eyelid, including canthus
ICD-10 C44.1321 is a billable code used to indicate a diagnosis of sebaceous cell carcinoma of skin of right upper eyelid, including canthus.
Sebaceous cell carcinoma is a rare and aggressive form of skin cancer that arises from sebaceous glands, which are responsible for producing oil that lubricates the skin and hair. This specific code pertains to the carcinoma located on the right upper eyelid, including the canthus, which is the corner of the eye where the upper and lower eyelids meet. Patients with sebaceous cell carcinoma may present with a painless, firm nodule that can be mistaken for a benign lesion. Risk factors include chronic sun exposure, which can lead to DNA damage in skin cells, and a history of skin cancer. Surgical excision is the primary treatment, and due to the delicate nature of eyelid anatomy, achieving clear surgical margins is critical to prevent recurrence. Reconstruction may be necessary post-excision to restore eyelid function and appearance, often involving techniques such as skin grafts or local flaps. Regular follow-up is essential for monitoring potential recurrence, as sebaceous cell carcinoma can metastasize if not adequately treated.
Detailed clinical notes including lesion size, location, and histopathology results.
Diagnosis and treatment of skin cancers, including excision and reconstruction.
Ensure accurate coding of the type of skin cancer and any associated procedures.
Surgical reports detailing the excision and reconstruction techniques used.
Reconstruction of eyelid defects post-excision of skin cancers.
Documentation must reflect the complexity of eyelid anatomy and the need for cosmetic and functional restoration.
Used when excising the sebaceous cell carcinoma from the eyelid.
Document the size of the lesion and the margins obtained.
Ensure that the excision is performed by a qualified specialist.
Used for reconstructive surgery following excision.
Document the technique used for reconstruction.
Detail the complexity of the repair in the surgical report.
Sebaceous cell carcinoma is a rare skin cancer that originates from sebaceous glands, often presenting as a firm nodule on the skin. It is more aggressive than other skin cancers and requires careful treatment and follow-up.
Treatment typically involves surgical excision with clear margins, and reconstruction may be necessary to restore eyelid function and appearance. Regular follow-up is crucial to monitor for recurrence.