Squamous cell carcinoma of skin of unspecified eyelid, including canthus
ICD-10 C44.121 is a billable code used to indicate a diagnosis of squamous cell carcinoma of skin of unspecified eyelid, including canthus.
Squamous cell carcinoma (SCC) of the skin is a malignant tumor that arises from keratinocytes, the predominant cell type in the epidermis. This specific code, C44.121, refers to SCC located on the skin of the eyelid, including the canthus, which is the corner of the eye where the upper and lower eyelids meet. SCC is often associated with chronic sun exposure, making it more prevalent in individuals with fair skin or those who have had significant UV exposure over their lifetime. Clinically, SCC may present as a persistent, non-healing ulcer, a scaly patch, or a firm nodule. Diagnosis is typically confirmed through biopsy. Treatment often involves surgical excision, and due to the delicate nature of eyelid tissue, careful consideration of surgical margins is crucial to ensure complete removal of cancerous cells while preserving eyelid function and aesthetics. Reconstruction may be necessary depending on the extent of the excision, and options include local flaps or grafts to restore the eyelid's appearance and function. Regular follow-up is essential to monitor for recurrence, as SCC can metastasize if not adequately treated.
Detailed descriptions of the lesion, biopsy results, and surgical margins.
Diagnosis and treatment of skin cancers, including SCC and BCC.
Ensure clear documentation of the surgical technique and any reconstructive procedures performed.
Documentation of eyelid function, cosmetic outcomes, and any visual impact.
Management of eyelid tumors and reconstruction post-excision.
Focus on the functional and aesthetic outcomes of eyelid surgery.
Used when excising SCC from the eyelid.
Document size of the lesion, margins, and any reconstruction performed.
Ensure that the surgical technique is clearly documented.
Documenting surgical margins is crucial to ensure that all cancerous cells are removed, reducing the risk of recurrence and ensuring appropriate follow-up care.
Chronic sun exposure is a major risk factor for developing SCC, particularly in fair-skinned individuals, as UV radiation can cause DNA damage in skin cells.
