Malignant neoplasm of testis
Chapter 2:Neoplasms
ICD-10 C62 is a billable code used to indicate a diagnosis of malignant neoplasm of testis.
Malignant neoplasm of the testis refers to cancer that originates in the testicular tissue, which can include various histological types such as seminomas and non-seminomas. This condition is primarily diagnosed in males aged 15 to 35 years, although it can occur at any age. The neoplasm may present as a painless lump in the testis, and symptoms can include swelling, discomfort, or changes in the size or shape of the testis. Diagnosis typically involves physical examination, imaging studies such as ultrasound, and serum tumor markers including alpha-fetoprotein (AFP) and human chorionic gonadotropin (hCG). The staging of testicular cancer is crucial for determining treatment options and prognosis, often classified using the TNM system (Tumor, Node, Metastasis). Treatment may involve surgical intervention, chemotherapy, and radiation therapy, depending on the stage and type of cancer. Fertility considerations are significant, as treatment can impact sperm production; therefore, sperm banking is often recommended prior to treatment for those wishing to preserve fertility.
Detailed clinical notes on physical examination findings, imaging results, and tumor marker levels.
Diagnosis and management of testicular masses, follow-up after orchiectomy, and treatment planning for advanced disease.
Ensure accurate staging and documentation of any fertility preservation discussions.
Comprehensive treatment plans, including chemotherapy regimens and response assessments.
Management of metastatic testicular cancer and monitoring for recurrence.
Document all treatment modalities and their effects on fertility.
Used for surgical treatment of testicular cancer.
Operative report detailing the procedure and findings.
Urology specialists should ensure accurate coding of the surgical approach.
Common symptoms include a painless lump in the testis, swelling, discomfort, and changes in testicular size or shape. Some patients may also experience back pain or abdominal discomfort if the cancer has spread.