Follicular lymphoma grade IIIa, lymph nodes of multiple sites
ICD-10 C82.38 is a billable code used to indicate a diagnosis of follicular lymphoma grade iiia, lymph nodes of multiple sites.
Follicular lymphoma is a type of non-Hodgkin lymphoma characterized by the proliferation of follicle center (germinal center) B-cells. Grade IIIa indicates a more aggressive form of the disease, where there is a predominance of large cells, but not all cells are large. This subtype typically presents with lymphadenopathy in multiple sites, which can include cervical, axillary, and inguinal lymph nodes. Patients may exhibit B-symptoms such as fever, night sweats, and unexplained weight loss, which are indicative of systemic involvement. Diagnosis is confirmed through histopathological examination and immunophenotyping, often requiring a biopsy of affected lymph nodes. Treatment protocols may include watchful waiting for asymptomatic patients, chemotherapy regimens such as R-CHOP (Rituximab, Cyclophosphamide, Doxorubicin, Vincristine, and Prednisone), and targeted therapies. The prognosis varies based on the stage at diagnosis, patient age, and overall health, with advanced stages generally associated with a poorer outcome.
Detailed clinical notes on patient history, physical examination findings, and treatment plans.
Diagnosis and management of newly diagnosed follicular lymphoma, treatment response evaluations, and management of relapsed disease.
Ensure accurate grading and staging are documented to support coding and treatment decisions.
Comprehensive pathology reports including histological findings and immunophenotyping results.
Biopsy evaluations for suspected lymphoma and grading of lymphoid tissues.
Pathology reports must clearly indicate the grade and subtype of lymphoma for accurate coding.
Used during treatment of follicular lymphoma grade IIIa.
Document the specific chemotherapy regimen and patient response.
Oncology specialists must ensure accurate coding of chemotherapy administration.
Key symptoms include lymphadenopathy, fever, night sweats, and unexplained weight loss, known as B-symptoms.
