Sebaceous cell carcinoma of skin of right lower eyelid, including canthus
ICD-10 C44.1322 is a billable code used to indicate a diagnosis of sebaceous cell carcinoma of skin of right lower 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 sebaceous cell carcinoma located on the skin of the right lower eyelid, including the canthus, which is the corner of the eye where the upper and lower eyelids meet. Patients with this condition may present with a nodular lesion that can be ulcerated or crusted, often mistaken for benign lesions. Risk factors include prolonged sun exposure, particularly in fair-skinned individuals, and a history of skin cancer. Surgical excision is the primary treatment, and due to the delicate nature of eyelid anatomy, careful attention to surgical margins is crucial to ensure complete removal of the cancerous tissue while preserving surrounding structures. Reconstruction may be necessary post-excision to restore eyelid function and aesthetics, often involving techniques such as flap or graft procedures. Regular follow-up is essential to monitor for recurrence, given the aggressive nature of this carcinoma.
Detailed clinical notes including lesion characteristics, biopsy results, and treatment plans.
Diagnosis and treatment of skin cancers, including sebaceous cell carcinoma; management of post-operative care.
Ensure accurate coding of surgical procedures and any reconstructive efforts, as well as follow-up care.
Comprehensive surgical reports detailing the excision and reconstruction techniques used.
Reconstruction of eyelid defects post-excision of skin cancers; management of eyelid tumors.
Documentation must reflect the complexity of eyelid anatomy and the necessity for aesthetic and functional restoration.
Used when excising a large sebaceous cell carcinoma from the eyelid.
Document the size of the lesion, location, and margins.
Oculoplastic surgeons must ensure detailed notes on the reconstruction process.
Common treatments include surgical excision, Mohs micrographic surgery for precise margin control, and in some cases, radiation therapy if the tumor is not amenable to surgery.
Sebaceous cell carcinoma typically presents as a nodular lesion that may be ulcerated or crusted. A biopsy is essential for definitive diagnosis, distinguishing it from basal cell carcinoma and other skin lesions.
