Malignant neoplasm of cauda equina
ICD-10 C72.1 is a billable code used to indicate a diagnosis of malignant neoplasm of cauda equina.
Malignant neoplasm of the cauda equina is a rare and aggressive form of cancer that arises from the nerve roots at the lower end of the spinal cord. The cauda equina, which translates to 'horse's tail' in Latin, consists of a bundle of spinal nerves and nerve roots that extend from the lumbar and sacral regions of the spinal cord. Tumors in this area can disrupt normal neurological function, leading to symptoms such as lower back pain, sciatica, weakness in the legs, and bladder or bowel dysfunction. Imaging studies, particularly MRI, are crucial for diagnosis, as they provide detailed images of the spinal canal and surrounding structures, allowing for the identification of tumor size, location, and potential invasion into adjacent tissues. Molecular markers, such as specific genetic mutations or protein expressions, may also be evaluated to guide treatment decisions and prognostication. Given the complexity of the central nervous system (CNS) and the potential for significant neurological impairment, management often involves a multidisciplinary approach, including neurosurgery, oncology, and rehabilitation services.
Detailed operative reports, imaging studies, and pathology results.
Surgical resection of cauda equina tumors, management of post-operative complications.
Ensure accurate coding of surgical procedures and any complications that arise.
Comprehensive treatment plans, including chemotherapy or radiation therapy details.
Management of malignant neoplasms with chemotherapy or radiation therapy.
Documentation must reflect the specific type of malignancy and treatment response.
Used during surgical intervention for cauda equina tumors.
Operative report detailing the procedure and findings.
Neurosurgeons must document the extent of resection and any complications.
MRI is the preferred imaging modality for diagnosing malignant neoplasms of the cauda equina, providing detailed images of the spinal canal and surrounding structures.