Follicular lymphoma
Chapter 2:Neoplasms
ICD-10 C82 is a billable code used to indicate a diagnosis of follicular lymphoma.
Follicular lymphoma is a type of non-Hodgkin lymphoma (NHL) characterized by the proliferation of B-lymphocytes in a follicular pattern. It is typically indolent, meaning it progresses slowly, and is often diagnosed in advanced stages. Patients may present with painless lymphadenopathy, which can occur in various regions such as the neck, axilla, or abdomen. Follicular lymphoma is classified as grade 1, 2, or 3 based on the number of centroblasts per high-power field, with grade 3 being more aggressive. B-symptoms, which include fever, night sweats, and weight loss, may or may not be present. Staging is crucial for treatment planning and is typically done using the Ann Arbor system, which considers the number of lymph node regions involved and the presence of B-symptoms. Treatment options vary based on the stage and may include watchful waiting, chemotherapy, immunotherapy, or radiation therapy. The prognosis for follicular lymphoma can vary widely, with some patients living for many years with the disease, while others may experience more aggressive forms requiring immediate intervention.
Detailed pathology reports, staging information, and treatment plans.
Initial diagnosis, treatment planning, and follow-up care for patients with follicular lymphoma.
Ensure accurate documentation of B-symptoms and staging to support coding.
Imaging reports detailing lymph node involvement and any masses.
Imaging studies for staging and monitoring treatment response.
Radiology reports should clearly indicate the size and location of lymph nodes.
Used for monitoring blood counts during treatment.
Document the indication for CBC and any abnormalities noted.
Hematology/Oncology specialists should ensure CBC results are linked to the diagnosis.
Essential for diagnosis of follicular lymphoma.
Pathology report must clearly indicate the diagnosis and grade.
Ensure the pathology report is included in the patient's medical record.
Common symptoms include painless swelling of lymph nodes, fever, night sweats, and unexplained weight loss. Some patients may not exhibit any symptoms at diagnosis.
Follicular lymphoma is staged using the Ann Arbor system, which assesses the number of lymph node regions involved and the presence of B-symptoms.
Treatment options include watchful waiting, chemotherapy, immunotherapy, and radiation therapy, depending on the stage and symptoms of the disease.
