C18.5: Malignant neoplasm: Splenic flexure
You have colon cancer.
The tissue in the body is made up of cells. With cancer, the cells multiply uncontrollably, which leads to a malignant neoplasm (abnormal growth of tissue) developing. The cancer cells can destroy the healthy tissue and spread throughout the body. The cells in your colon (large intestine) have multiplied uncontrollably.
The large intestine (colon) is like an upside down U in the abdomen. The first part lies in the lower right corner of the abdomen. Then it continues upwards and runs across from right to left. Then it descends again. There then follows an S-shaped part located on the bottom left side of the abdomen, which then merges into the rectum. The rectum is the last section of the large intestine (colon).
The cancer is at the junction between the transverse part and the descending part of the colon.
Please note: This ICD code may also derive from the ICD-O system. If this is the case, there are usually additional letters and numbers in addition to the code. It starts with the letter M, followed by 4 digits and then a slash. There is another digit after the slash.
If it is an ICD-O code, then this does not describe a malignant cancer in all cases. The last digit after the slash gives you more detailed information about this:
- /0 – The tumor is benign. Cells in a tissue multiply uncontrollably. However, they are not destroying the surrounding tissue and are also not spreading throughout the body.
- /1 – It is not known for sure whether the tumor is benign or malignant.
- /2 – It is an early form of cancer, a precancerous stage where the cells are altered and multiply uncontrollably. However, they are not yet spreading beyond a certain margin and cannot spread to other organs either.
- /3 – It is a malignant cancer. The cells in the affected tissue are altered and multiply uncontrollably. They can destroy the surrounding tissue and spread throughout the body.
- /6 – It is a metastasis. Cancer cells have spread from the originally affected site to a different site in the body and have further multiplied there.
- /9 – It is either a malignant cancer or a metastasis. The cells in the affected tissue are altered and multiply uncontrollably. However, it is impossible to say whether these cells derive originally from the affected site or have spread there from a different site in the body.
On medical documents, the ICD code is often appended by letters that indicate the diagnostic certainty or the affected side of the body.
- G: Confirmed diagnosis
- V: Tentative diagnosis
- Z: Condition after
- A: Excluded diagnosis
- L: Left
- R: Right
- B: Both sides
Provided by the non-profit organization “Was hab’ ich?” gemeinnützige GmbH on behalf of the Federal Ministry of Health (BMG).