Malicious new intestine. Sigmoid colon cancer in ICD Colon cancer ICD code

For cancer of the intestine, it is necessary to increase the growth of the mucous intestine. Even more often, the puffiness is localized in the sigmoid, straight and slip intestines.

Sigmoid intestine is a segment of the intestine, which is located in front of the rectum. The gut is visually given a walnut letter "sigma" - Σ, and the name went.

The sigmoid lesion is more important to the person in the process of etching and hardening the body live rhymes... Vyhodyachny, cancer of the sigmoid colon (ICD 10. Class II (C00-D48), C18, C18.7) is a problem of cancer, which can lead to a lethal result.

It is well known that the Danish type of cancer is diagnosed to endure a small amount (5-6% of all types of cancer are taken into account) in the age of 50 years. polypshuєtsya, in the case of cancer of the slunk.

vinniknennya ailments

The following officials inject sigmoid colon cancer into the history of ailments:

• the nature of the harvest is overwhelmingly fatty, meaty and grassy grasses, a shortage of products;
• ailments of the intestines of the intestine (polypy, colitis);
• collapse of style (constipation);
• recession factors;
• abducted vіk.

key picture

The symptomatology of cancer of the intestine can vary in the presence of the disease due to the localization of the swelling process. At the early stages of the symptomatology, as a rule, there is a day, then with a history you can see a loss of self-esteem, a loss of pracezdatnost, a decrease in appetite. Skhudnennya in cancer of the sigmoid colon is very slow to develop, as patients start gaining vagueness.

<>In the world of progressing sickness, there are more intestinal symptoms:

• Consolidate and carry;
• Burchannya in the intestines;
• Dull and overwhelming pain in the abdomen, so that you do not get stuck in any way;
• One-sided abdominal swelling (in case of a stomach ache in the intestine with chubby);
• Anemia (the result of chronic blood loss).

Symptoms of severe growths, in important cases intestinal imperfection, ignition processes(Phlegmon, abscesses, peritonitis), bleeding.

It is well known that the Danish species of cancer can be diagnosed to end up very poorly (5-6% of all types of cancer, the sickness of choloviks from 50 years of age).

Diagnostics and treatment

Diagnostics of the given form of cancer of the small intestine, laboratory dosage feces for an obvious abo shelter, roentgenologic dosage, sigmoidoscopy, colonoscopy.

Danish oncological process is possible vilikuvati viklyuchno hirurgic path... Vibor-wide resection method of urozhenoi intestine with regional lymph nodes.

In the international classifications, ailments are all new and evil, as well as a good character may be a powerful class. This is such a pathology as sigmoid colon cancer according to ICD 10 maє code C00-D48 according to the class.

Whether it is an oncological process, it’s as if it’s localized in the singing organ, it’s lacking in individual features, so that one can see from them, at first glance, the same pathological conditions.

In case of coding cancer, the following indicators are considered:

• the primacy of the oncological process (whether a chubby can be localized in the singing organ, for example, tovstiy intestine, or it is the result of metastasis);
• functional activity (relying on the respect of churning out any biologically active speeches, so that it is rarely possible to develop a new intestinal solution, or it is practical to get sick with oncology thyroid gland the same organs of the endocrine system);
• morphology (the term cancer for children, which is the transmission of evilness, protest behavior can be: epithelial cells, low-differentiated structures, cells with good fabrics and so far);
• broadening of swelling (cancer can occur in more than one organ, but in a decal, which will require clarification in the code).

Features of sigmoid colon cancer

Sigmoid є with a part of the intestinal tract, practically the final part of the intestinal tract, roztashovanoy without before the rectum. Be-like oncological processes in niy є I will not be safe the body is not only through intoxication cancer cells for some extravagant reasons, Ale i through the value of the broken function herbal tract.

With the newly established sigmi, the following problems are identified:

• bleeding, which can lead to severe stages of anemic syndrome, if blood transfusion is not required;
• intestinal laxity, viklicana obstruction of the intestinal lumen;
• germination in the suspension organ of the small pelvis (exercise sectional system for men and women);
• development and melting of the intestinal wall with the development of peritonitis.

However, the differentiation of diagnosis in case of oncology of the good intestine is even more twisted due to the similarity of symptoms. To confirm the localization of the new solution, you can only help the highly specific methods of verification. Besides, key picture zahvoryuvannya can be a trivial hour of being out of the day, only when the puffiness of significant growths is reached. Through the ICD 10, bowel cancer is important to finish and, apparently, signify a disease.

Koduvannya zavoryuvannya

evil pathology colon to be found under the code С18 with a podіlom on the pіdpunkti. The chubby process in sigma is codified in the following order: С18.7. At the same time, there are additional codes for functional and morphological features of the new solution.

It is necessary to clarify the information through those who have an oncological diagnosis established only on the presentation of the given biopsies, so as to cytological information.

In addition, the forecast for the patient is rich in what will be found in the histological type of new solution. The less differentiated cells are to show fahivts in vividly, the more important they are to get involved, and the more chances are the widening of metastatic headaches. Have new foods in the intestine to drink localization pukhlini, but the problem is that the pathology is expanding rapidly. For example, cancer of the colon according to ICD 10 is C18.0, ale only until that moment, as it goes beyond the intestine. In case of a flood of fluff, the code C18.8 will be set.

Colon cancer - infested with one of the most widespread cancer patients, Scho vrazhayut such organ of the herbal tract, yak intestines. Oskilki vіn are stored from decіlkoh wіddіlіv, then in pathology it is possible to receive skin from them one by one or all at once.

The main reason for the form evil new solution polyagaє in the non-rational harchuvannі people. However, there are several factors in the field of gastroenterology.

It’s not safe to have ailments in the fact that you have to finish the next hour without showing any symptomatology, and those signs that rotate, cannot accurately indicate the appearance of cancer. Head symptoms є pain syndrome, flatulence and appearance of pathological houses in feces Oh.

Diagnostics of transmission, carrying out a comprehensive treatment, repairing from palpation of the abdomen and ending a wide rangeі instrumental procedures. Likuvannya is carried out only by a surgical path.

In the international classification, such a pathology is of great importance, in the presence of a disease, such as the appearance of the intestinal tract. In this rank, the code for the MKH-10 will be C17-C19.

Ethiology

Cancer of the intestine is a great term, some of the organ is formed from the following types:

• sl_piy;
• rim - like a bush with a lower, lower and transverse;
• sigmoid;
• straight.

Varto mean that it is similar to a type of oncology in women’s statuses borrowing from another place - її viperzhaє only breast cancer. In cholovikiv, according to the frequency of diagnostics, such ailments are deprived of prostate cancer and lungs.

The main reasons for the development of similar ailments are:

• prevention of pathologies fiery character in the intestines - here it is. In the case of such ailments, such ailment is caused by the first one, which is the enemy of the upper ball to the organ, and the other - to expand on all tissues;
• The decline is tight - if someone's close relatives have been diagnosed with a pathology, then people have a significant increase in the chances of developing cancer. Knowing about tse, it is possible to self-help it to appear - for all it is enough to see the small calls, correctly and regularly see the gastroenterologist. Klіnіcisti sturdzhuyut, which is such a dry bureaucracy in the form of a disease in 25% of vipadkіv;
• ineffective food - zbilshu rizik development of ailments is such a race, which is based on fat and carbohydrates, on which the human body will not accept sufficient amount of klitkovini. The very reason for the basis of therapy to become a child with cancer of the intestine;
• lack of physical activity in the life of people - high rhiziku the development of oncology is supported by the fact that it is constantly working in a seated or standing position, and also that, with the power line, you do not want to fit yourself physical activity;
• a lot of addiction to high-pitched little sirens - large-scale development of such a cancer has shown that it is poisonous with alcohol and smoking cigarettes 40% more often go through a lot of ailments, do not live well;
• formulation - such a new establishment is good, ale for the infusion of unpleasant factors, the stench of the building transforms into cancer;
• trivial і uncontrolled reception of actions of groups drugs, Zokrem, anti-fiery and antibacterial diseases;
• the visibility of the people of the high masi tila;
• damage to the process of exchanging bricks and fat.

It’s important that the main group is getting people over forty years of age and representatives of the cholovic status, as they often develop this kind of ailment. However, young people do not have the opportunity to develop them.

Classification

Yak bulo is designated as a food, malignant new gut in women and choloviks can be localized in other zones to the body, but the frequency of their damage can be seen. by the way,

• the sigmoid і deciduous rim intestine appears in the quality of the cancer most often - in 36% of the cases;
• Slip and viscous rim intestine is reduced by approximately 27% due to the efforts of diagnosing ailments;
• oncology of the rectum to become 19%
• colorectal cancer - 10%.

For the nature of the growth, the evil puffs rage:

• ekzofіtnі - tse means, scho approved to grow into the intestinal lumen;
• endofitnims - expand to the same body;
• zm_shanimi - may be signs of two vishchevkazanikh forms.

Fallow from its histological budovy, swelling cancer of the good intestine can be mother viglyad:

• adenocarcinomas - occur in 80% of cases;
• mucoid cancer;
• signet ring or mucocellular cancer;
• flat oncology;
• basal cell carcinoma;
• glandular-squamous cancer;
• undifferentiated and not classified as cancer.

Falsely from Gibini, penetration and growth of metastases are seen as the onset of cancer resistance:

• an overcrowded camp - with a lack of tribute for the assessment of chubby;
• null - the structure of the mucus ball of the intestine will collapse;
• pochatkova - krym mucus ball urazhayutsya pidlizisti tissue;
• average gravity- іnfіltratsії the meat ball is given;
• important - to promote the germination of education according to all the verses of the body;
• accelerated - a case in the pathology of all structural parts of the intestinal stinka, it means an expanded metastasis on the nearest organ.

Likewise, there is ailment due to the appearance of metastases in regional or distant lymph nodes.

symptomatology

Unimportant to those who are on cancer, there may be an enemy of the disease in the body, cancer of the intestine may have symptoms of the same.

At the first stages of development, the symptoms may increase but they appear, and there is a slight decrease in the tissue. Protect you can turn around cleverly show, Yakі is characteristic for bagatokh an ailment of the shlunkovo-intestinal tract. On the other hand, since the stench is weakly twisting, people often don’t beastry on them, they do not want to destroy their camp on their own.

The first symptoms of oncology of the intestine are presented:

• permanent discomfort in the abdomen;
• we will promote gas solutions;
• the style of the style;
• inappropriate views before the hour of the act of defecation;
• almost re-distribution of the slunk;
• out-of-the-box weakness.

In the world that pathological process will be wider, there will be signs of cancer, there will be a more pronounced character of the turn, and also you will have to show, the middle ones:

• cherguvannya ryasnoy diarrhea with constipation;
• singing houses in feces - mova yde about shelter and slime. Especially those who in the fallowness are due to the infection of this area of ​​the intestinal tract stink young viglyad... For example, with localization in the sigmoid or rectum, the roof and mucus will envelop the feces. In all the other types of feces, there will be fewer types of feces, which can vary from red to black;
• anemia - vinikє on aphids of internal intestinal bleeding;
• the whiteness and dryness of the nest;
• not primed for the decrease in weight;
• laxity of hair and weakness nigtyovyh plates;
• signs of vitamins;
• temperature adjustment and fever.

In addition, it is necessary to take care of it, for with advanced metastases in the other organ, for example, in the liver, shlunok, spleen, legends, or for the flesh, the main symptomatology will be supplemented by the enlarged manifestations of the lateral segment.

diagnostics

put correct diagnosis on early stages Formation of ailment is practically uncomfortable - in such cases, cancer of the intestine will be diagnostically unsuccessful, caused by an hour of instrumental obsolescence of people.

If nonspecific symptomatology is diagnosed, it will be necessary to carry out a whole complex of different visits. First for everything, a gastroenterologist is required:

• I am aware of my life history and history of ailments not only of the patient, but of his close relatives - with further diagnostics, even for the most characteristic reason for the diagnosis of oncology in that patient;
• to conduct a retreat physical examination - it is necessary in order that in some cases the effect of the damage to the organ can be revealed by a gentle palpation and percussion of the front black empty... It will also be necessary to carry out a digital examination of the rectum and a gynecological examination (for women);
• detailed description of the patient - for the first hour of the appearance of the stage of the turn of the symptoms in cancer. This will help you not only to lay down the picture of the progression of the ailment, but rather to the stage of progress.

Laboratory information is available in the following locations:

• zagalnoklinicheskogo analysis of blood - for the confirmation of the pathological process in the body;
• microscopic vivchennya of feces;
• test for the value of PEA.

For the visualization of malignant neoplasm, the identification of its localization and the appearance of distant abnormal metastases, carry out the following instrumental procedures:

Differentiation of small intestine cancer with metastases is necessary for the onset of ailments:

• nonspecific reddened colitis;
• Crohn's ailment;
• actinomycosis or tuberculosis of the intestine;
• good chicks;
• polyposis and diverticulitis;
• brushes and chickens of eggs.

lykuvannya

Naybilsh dієvim method of therapy for similar ailments є surgical involvement... The tactics of determining the operation will be seen in the depletion of the fact that it was seen in the intestines of the battles:

• slip gut and viscid wedge of the rim - to carry out right-handed hemikolectomy;
• transverse-rim intestine - outside visceral;
• decayed swelling of the rim intestine - the sided hemikolectomy is healthy;
• sigmoid pelvis - sygmoidectomy.

It is also possible to go into the step-by-step engagement, which includes:

• resection of the intestine;
• colostomy overlay;
• close of the intestinal stomy;
• reconstructive surgery.

Chemotherapy for colon cancer It can be carried out before or during the operation, as well as in one way of therapy for inoperable fluff.

For operable treatment, it is necessary to start correct eating with cancer of the intestine. Diet polyagus in the form of fatty products and reduction of consumption in carbohydrates, as well as supplemented menus with such products:

• all varieties of cabbage - kolorova, bilokachanna, pekinska, etc .;
• soy and tomato;
• tsibulya і chaplain;
• mountains, seeds and dried fruits;
• lamіnaria;
• riba and egg;
• tea, sour and compote.

All the people are guilty of gotuvatisya the way of cooking and steaming, as well as the general dietary regime. Reshta recommendations schodo kharchuvannya nadaє a gastroenterologist or a doctor.

may you expedite

Oncological damage to the intestinal tract in women and men can lead to the following inheritances:

• damaged body;
• greetings internal organs chubby;
• damage to the process of sechovipuskannya;
• potential distribution;

Prevention and forecast

To reduce the quality of the development of similar illnesses, it is necessary to follow the awkward rules:

• more prompts are made from high-pitched calls;
• correctly and generally grunt;
• take care of the free pathology of the intestinal tract, which can lead to cancer of the intestinal tract;
• to lead an active way of life in the world;
• accept the names only for the signs of the clinician;
• regularly check in with a gastroenterologist, especially to be quiet, hto maє genetic strength.

The prognosis of the ailment is beyond the reach of the fact that the diagnosis has been made at the first stage of cancer prevention. For the first five years of vision, the reach is 93%, for the other - 75%, for the third - less than 50%, for the fourth - 5%. Without lіkuvannya lyudin with such a sickly can live about one rik.

Rectal cancer is a malignant disease of endometrial cancer caused by colon cancer. Itself the rest of the dilyanka is not so easy to feed on crayfish, bringing the sick person to endure a lot of problems. Yak і be-yaka іnsha ailment - rectal cancer can be seen by the International Classification of Hvorob 10, or ICD 10. Axis and pudding from the position of the classification.

Code for MKX 10

C20 is the ICD 10 code for rectal cancer.

structure

I will pick up the structure according to ICD 10 to rectal cancer.

• New Product - C00-D48
• Malicious - C00-C97
• Organi Etched - C15-C26
• Rectum - C20

susidni ailments

According to the suspicion in the organs of etching according to the ICD, there is a desire to become ill with suspicions. Pererakhumo їkh here, leave the power. So bi moviti, shut up.

• C15 - stravohid.
• C16 -.
• C17 - small intestine.
• C18 - rim gut.
• C19 - rectosigmoid data.
• C20 is straight.
• C21 - Rear passageі anal channel.
• C22 - internal furnace ducts.
• C23 - gingerbread.
• C24 - іnshі unspecified parts of the young men.
• C25 -.
• C26 - Insufficient and inaccurately identified etching organisms.

Yak bachite, be it an oncological problem, read the word in the classifier of ailments.

General information about cancer

We will not zupinyatsya here report on the whole disease - we have an ordained statute. here it is short information and classifier.

The main reasons for getting sick are chicken-feed, alcohol, problems with food, a little rude way of life.

The pose of any international classifications is already in the middle of the structure for the growth of carcinoma for the treatment of seeing this type of attack:

1. rectosigmoid
2. upper ampullary
3. medium ampullar
4. sub-ampullary
5. anal opening

Main types:

• infiltrative
• endofitny
• ekzofitny

For aggressiveness, show:

• high differentiation
• low differentiation
• Average differentiated

symptomatology

Intestinal cancer vzagalі - it is ill, yake vyavlya itself deprived of in different stages, Patients turn on 3 or 4.

The main points at the different stages:

• Shelter in cali
• vtoma
• Feel like the slunk
• More visibility during defecation
• shut up
• Anus rivet with visions
• Unfriendly
• Kishkova imperfection
• diarrhea
• Females have a lot of feces through the fistula

1 stage- small size of chubby, up to 2 centimeters, do not go beyond the border of the body.

2 stages- the fluff grows up to 5 cm, the persistent metastases in the lymphatic system occur.

3 stages- there are metastases in nearby organs - cuttings, Mattsi, prostate.

4 stages- wider widening, metastases appear in the distance. Can a new classification - in the cancer of the intestine.

forecast

For five-fold vision, the forecast is followed by stages:

• Stage 1 - 80%.
• 2nd stage -75%.
• Stage 3 - 50%.
• 4 stages - did not appear.

diagnostics

The main methods of diagnostics of illness:

• Look around.
• Palpation.
• Analyzes: slashing, feces for shelter, shelter.
• Endoscopy, Colonoscopy.
• X-ray.
• Tumor markers.
• Magnetic resonance tomography, Computer tomography, SPL.

lykuvannya

Vidіlimo basic methods of treatment of the Oncology Center:

Hirurgicne involvement- from the point of view of the chubby to the visible part of the rectum or of the general resection.

chemotherapy... The introduction of chemical preparations, which destroy the malignant cells. may side effects... Basically, it should be done until the end of the operation.

Promeneva therapy... Another method of pre-treatment lykuvannya, polyagaє in optimized fluffy radioactive detection.

food parts

Do you need to work with the operation?

Yak rule - so. Hirurgiya gives the maximum effect of treatment, exchange and chemotherapy deprived of gaining losses of clients. The operation should not be shy at the last stage, if the liking itself is already deaf. So it is - how to understand the robotic operation, it means that not everything has been absorbed.

How can you live with cancer?

Let's be straight. Zagvoryuvannya - not smashing. Ale vidsotok vizhivannya is very high. When emerging at the first stages - the patient can live calmly and more than 5 years. And the axis on the rest in a reasonable way, in the middle to the top.

prophylaxis

In order to make sure that the cancer appears, the following recommendations are:

• Chi does not start the treatment of intestinal ailments - hemorrhoids, fistulas, anal fissures.
• Struggling with constipation.
• Correctly kharchuvannya - emphasis on roslinnu їzhu.
• wikidaєmo shkіdlivі calls- chicken and alcohol.
• More physical activity.
• Regular monitors.

for diagnostics good-hearted poohlin The intestinal tract can be tested by laboratory and instrumental methods of preliminaries. The data of objectival coverage are mostly uninformative. In some cases, it is possible to see the appearance of blood from the anus and the appearance of blood.
s laboratory methods The blood analysis of blood is stagnant, in which, when bleeding is evident, a decrease in the level of erythrocytes and hemoglobin is indicated. Signs of anemia are most often susceptible to multiple bleeding polyps of the intestine. It’s also good intestine swelling to speed up the inflammation of the mucous membrane, erosions, or to secondary infections, in Zagalom analizі blood appears to increase the level of leukocytes and accelerated SHOE. During the analysis of feces on the covered roof, insignificant bleeding is diagnosed, uncomfortable when looking around.
From the instrumental methods of diagnostics vikoristovuyutsya irrigoscopy (roentgenologic dosage of the intestine): for a short visualization of the intestine, to inject contrast, to take away the bar. Defects similar to slush appear behind the help of the whole dosage, and you can tell about the appearance of chubby. X-ray criteria of good swollen intestines are the presence of a lumpy defect similar to smooth, smooth and clear edges without changes in the mucous membrane. The emergence of the cich is a sign of the permissibility of the recognition of the good, the new solution of the evil.
An important method of diagnostics of good pooches is the endoscopy of small intestines. For additional sigmoidoscopy, look at the rectum and lower portions of the intestine. Colonoscopy gives you the opportunity to look around the whole intestine for good new products. During this diagnostic procedure, the proctologist can take tissue samples for morphological dosage To give the opportunity to clarify the morphology of the chubby and to be based on the tactics of treatment.
In most cases (60-75%), good intestinal swelling is good to see behind a rectoscope or a colonoscope. The polyp can be rostered, either on a thin basis, or on a broad basis. The mucous membrane of the good-looking puffs of the intestine has a normal erysipelatous coloration, although in some drops it can be purple-red, seen on aphids. With the development of the fiery mucus, the sheath of good-looking puffins becomes swollen and hyperemic, well seen with endoscopy of the intestinal tract. In case of emergence of erosions, a defect of mucous with swollen edges appears, in a thick fibrinous nalot.