Desmoid tumor of upper extremity and shoulder girdle
ICD-10 D48.115 is a billable code used to indicate a diagnosis of desmoid tumor of upper extremity and shoulder girdle.
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, including the upper extremity and shoulder girdle. These tumors are classified as neoplasms of uncertain behavior, meaning they do not metastasize but can exhibit local aggressiveness, leading to significant morbidity. Clinically, desmoid tumors may present as painless masses, and their growth can be influenced by hormonal factors, particularly in women during pregnancy or those taking hormonal therapies. Surveillance is crucial, as these tumors can recur after surgical excision, and their behavior can change over time. Imaging studies, such as MRI, are often utilized for diagnosis and monitoring. The management of desmoid tumors may involve a multidisciplinary approach, including surgery, observation, and in some cases, pharmacological treatment with nonsteroidal anti-inflammatory drugs (NSAIDs) or targeted therapies. Given their uncertain behavior, careful documentation and coding are essential to reflect the complexity of the condition accurately.
Detailed pathology reports, imaging studies, and treatment plans must be documented.
Patients presenting with a palpable mass in the upper extremity or shoulder girdle, requiring imaging and biopsy.
Ensure that the tumor's behavior and treatment response are clearly documented to support coding.
Surgical reports detailing excision margins and any complications.
Surgical intervention for desmoid tumors in the shoulder girdle or upper extremity.
Document the rationale for surgical intervention and any postoperative follow-up plans.
Used when excising a desmoid tumor from the shoulder girdle.
Operative report detailing the excision and margins.
Orthopedic surgeons should document the extent of the excision and any complications.
A desmoid tumor is a benign neoplasm that arises from connective tissue and is characterized by aggressive local growth. It does not metastasize but can cause significant morbidity due to its infiltrative nature.
Treatment options for desmoid tumors include observation, surgical excision, and pharmacotherapy, depending on the tumor's size, location, and symptoms.
Desmoid tumors have a notable risk of recurrence after surgical excision, making regular surveillance and follow-up care essential.
