C82.36
Follicular lymphoma grade IIIa, intrapelvic lymph nodes
Clinical Classification Guidelines
Medical Intelligence & Overview
Follicular lymphoma grade IIIa is a type of non-Hodgkin lymphoma that originates in the lymphatic system. It is characterized by the abnormal growth of B lymphocytes arranged in follicular patterns. This subtype, grade IIIa, signifies an aggressive form of follicular lymphoma, with a higher proportion of large, actively dividing cells. When it involves intrapelvic lymph nodes, it indicates the disease is present within lymph nodes located in the pelvic area. Recognizing this condition is essential for diagnosis and management, as it influences treatment options and prognosis.
Causes & Symptoms
Clinical Causes: Genetic mutations within B lymphocytes Environmental factors, such as exposure to certain chemicals or pesticides Chronic immune system stimulation or autoimmune disorders Age-related changes in immune function Family history of lymphomas or other hematologic cancers
Key Symptoms: Swollen lymph nodes in the pelvic region, which may be painless Persistent fatigue or weakness Unexplained weight loss Fever and night sweats Abdominal discomfort or swelling General malaise
Diagnostic & Treatment
Diagnosis Path: Physical examination to identify enlarged lymph nodes Imaging tests such as CT scans or PET scans to visualize lymph node involvement Biopsy of affected lymph nodes to examine tissue under a microscope and determine histologic grade Immunophenotyping to identify specific cell markers characteristic of follicular lymphoma Bone marrow biopsy may be performed to assess spread Blood tests to evaluate overall health and organ function
Treatment Protocols: Immunotherapy, including monoclonal antibodies like rituximab Chemotherapy regimens designed for aggressive lymphomas Targeted therapy to inhibit specific pathways involved in cancer cell growth Radiation therapy in localized disease areas Stem cell transplant in select cases where aggressive treatment is needed Supportive care to manage symptoms and maintain quality of life
Clinical Advice & FAQs
Billing Guidance
Is C82.36 a billable ICD-10 code?
Yes, C82.36 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report C82.36?
Clinical documentation must specify the nature of Follicular lymphoma grade IIIa, intrapelvic lymph nodes and any associated comorbidities for accurate reporting.
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