Desmoid tumor, intraabdominal
ICD-10 D48.114 is a billable code used to indicate a diagnosis of desmoid tumor, intraabdominal.
Desmoid tumors, also known as aggressive fibromatosis, are benign neoplasms that arise from the connective tissue and are characterized by their infiltrative growth pattern. Intraabdominal desmoid tumors specifically occur within the abdominal cavity, often associated with the fascia or muscle. These tumors are classified as neoplasms of uncertain behavior, meaning they do not metastasize like malignant tumors but can exhibit aggressive local growth, leading to significant morbidity. The etiology of desmoid tumors is not fully understood, but they are often linked to genetic factors, particularly in patients with familial adenomatous polyposis (FAP). Clinically, patients may present with abdominal pain, a palpable mass, or bowel obstruction due to the tumor's size and location. Surveillance is critical, as these tumors can recur after surgical resection, and their growth can be unpredictable. Management may involve surgical intervention, observation, or pharmacological treatment, including nonsteroidal anti-inflammatory drugs (NSAIDs) or hormonal therapies. Due to their uncertain behavior, careful monitoring and follow-up are essential to assess for any changes in size or symptoms.
Detailed pathology reports and imaging studies must be included to support diagnosis.
Patients presenting with abdominal pain and imaging findings suggestive of a desmoid tumor.
Oncologists must document the tumor's behavior and any treatment plans, including surgical and non-surgical options.
Operative reports must detail the surgical approach and findings related to the desmoid tumor.
Surgical resection of a desmoid tumor due to obstruction or pain.
Surgeons should document the extent of resection and any complications to support coding.
Used when a desmoid tumor is suspected and requires surgical exploration.
Operative report must detail findings and any biopsies taken.
Surgeons should document the extent of the tumor and any complications.
Coding D48.114 accurately reflects the diagnosis of an intraabdominal desmoid tumor, which is crucial for treatment planning and epidemiological studies. It also helps in tracking the behavior of these tumors over time.
