Malignant neoplasm of heart, mediastinum and pleura
Chapter 2:Neoplasms
ICD-10 C38 is a billable code used to indicate a diagnosis of malignant neoplasm of heart, mediastinum and pleura.
Malignant neoplasms of the heart, mediastinum, and pleura represent a rare but significant category of thoracic malignancies. These tumors can originate from various tissues, including the heart muscle (primary cardiac tumors), the mediastinum (the area between the lungs), and the pleura (the membrane surrounding the lungs). Common types of malignant neoplasms in this category include sarcomas, lymphomas, and mesotheliomas. Symptoms may vary widely, including chest pain, dyspnea, and systemic signs such as weight loss or fever. Diagnosis often involves imaging studies such as CT scans or MRIs, and may require biopsy for definitive histological diagnosis. Treatment options depend on the tumor type and stage, and may include surgical resection, chemotherapy, and radiation therapy. Surgical considerations are critical, as the proximity of these tumors to vital structures in the thorax can complicate resection and increase the risk of complications. Multidisciplinary management is essential for optimal outcomes.
Detailed pathology reports, imaging studies, and treatment plans must be documented.
Diagnosis and management of primary cardiac tumors or mediastinal lymphomas.
Accurate staging and grading are crucial for treatment planning and coding.
Operative reports must detail the extent of resection and any complications.
Surgical resection of mediastinal tumors or cardiac masses.
Documentation should clearly indicate the surgical approach and any adjunctive therapies.
Used for minimally invasive resection of mediastinal tumors.
Operative report detailing the procedure and findings.
Ensure that the surgical approach is clearly documented.
Common symptoms include chest pain, dyspnea, cough, and systemic symptoms like weight loss and fever. The presentation can vary significantly based on the tumor's location and type.
