MS Diagnostic Coding.ppt

Cutaneous (skin) lymphoma Cancers of lymphocytes (white blood cells) Primarily involving skin Classification is based on lymphocyte type B-lymphocytes (B-cell) T-lymphocytes (T-cell) (CTCL) Most common Red, scaly patches or thickened plaques of skin Often mimic eczema or chronic dermatitis More common in men; after age 50 CTCL Most common type of Skin Lymphoma Red, scaly patches or thickened plaques of skin Often mimics eczema or chronic dermatitis More common in men; after age 50 Two most common types Mycosis fungoides Sezary syndrome Treatment Topical Corticosteroids, Topical Chemo, Retinoids Systemic IV Steroids IV Retinoids IV/ Oral Chemo Light Therapy Immunotherapy Radiation Therapy Melanoma Less than 5% of skin cancer cases BUT causes large majority of skin ca deaths 2012 - About 76,250 new melanomas dx 44,250 men 32,000 women Incidence rates for melanoma rising for 30+ yrs 9,180 are expected to die of melanoma 6,060 men 3,120 women 2004 to 2008 - Death rate in whites Dropped those 50 Stable in women Rising in men 50 Melanoma Lifetime risk 2% (1 in 50) for whites 0.1% (1 in 1,000) for blacks 0.5% (1 in 200) for Hispanics Risk increase with age One of more common cas in young adults Melanoma Risk Factors Ultraviolet (UV) light exposure Sun and Tanning beds Dysplastic nevi Congenital melanocytic nevi Fair skin, freckling, light hair Personal Hx of melanoma Immune suppression Age Gender (Male) Xeroderma pigmentosum SS of Melanoma ABCDE rule Asymmetry One half of mole or birthmark does not match other half Border Edges irregular, ragged, notched, or blurred Color NOT same all over may include shades of brown/black, sometimes patches of pink, red, white, or blue. Diameter Spot 6 mms across– size of pencil eraser, BUT melanomas can be smaller Evolution Any changes in skin lesions, new skin lesions, or growths that look different from moles SS of Melanoma Other warning signs Sore doesn’t heal Pigment spreads from border of spot to surroundi