Desmoid tumor of abdominal wall
ICD-10 D48.113 is a billable code used to indicate a diagnosis of desmoid tumor of abdominal wall.
Desmoid tumors, also known as aggressive fibromatosis, are benign neoplasms that arise from the connective tissue and are characterized by their infiltrative growth pattern. They can occur in various locations, with the abdominal wall being a common site. These tumors are classified as neoplasms of uncertain behavior, meaning they do not metastasize like malignant tumors but can exhibit local aggressiveness and recurrence after surgical excision. The etiology of desmoid tumors is often associated with genetic factors, particularly mutations in the APC gene, and they can be linked to conditions such as familial adenomatous polyposis (FAP). Clinically, patients may present with a palpable mass, pain, or discomfort in the abdominal area. Imaging studies, including MRI and CT scans, are essential for diagnosis and assessing the extent of the tumor. Due to their unpredictable nature, surveillance is crucial post-treatment, as desmoid tumors can recur even after complete resection. Management strategies may include surgical intervention, observation, and pharmacological treatments such as nonsteroidal anti-inflammatory drugs (NSAIDs) or hormonal therapies. The prognosis varies, with some tumors remaining stable while others may progress, necessitating ongoing monitoring.
Detailed pathology reports, imaging studies, and treatment plans.
Management of desmoid tumors post-surgery, monitoring for recurrence.
Need for interdisciplinary communication regarding treatment options and surveillance.
Operative reports detailing excision, margins, and any complications.
Surgical resection of desmoid tumors and management of surgical site complications.
Documentation of surgical margins is critical to assess the completeness of resection.
Used when a desmoid tumor is surgically excised from the abdominal wall.
Operative report detailing the excision and margins.
Ensure clear documentation of the tumor's characteristics and surgical approach.
The prognosis for patients with desmoid tumors varies widely. While they are benign and do not metastasize, they can be locally aggressive and may recur after treatment. Regular surveillance is essential to monitor for any changes.
