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pancreatic cyst icd 10
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The American Journal of Gastroenterology 109, 121-129 (January 2014) | doi:10.1038/ajg.2013.334
Bechien U Wu, Kartik Sampath, Christopher E Berberian, Karl K Kwok, Brian S Lim, Kevin T Kao, Andrew Q Giap, Anne E Kosco, Yasir M Akmal, Andrew L Difronzo, Wei Yu and Eunis W Ngor
OBJECTIVES:
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Pancreatic cystic neoplasms (PCNs) are actuality detected with added frequency. The aims of this abstraction were to actuate the accident of blight and advance an imaging-based arrangement for anticipation of blight in PCN.
METHODS:
We conducted a attendant accomplice abstraction of patients ≥18 years of age with accepted PCN from January 2005 to December 2010 in a community-based chip affliction ambience in Southern California. Patients with history of astute or abiding pancreatitis were excluded. Blight diagnosed aural 3 months of cyst analysis was advised as pre-existing. Subsequent accident of blight during surveillance was affected based on person-time at risk. Age- and gender-adjusted connected accident arrangement (SIR) was affected with the non-cyst advertence population. Recursive administration was acclimated to advance a accident anticipation archetypal based on cyst imaging features.
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RESULTS:
We articular 1,815 patients with accepted PCN. A absolute of 53 (2.9%) of patients were diagnosed with cyst-related blight during the abstraction period. The surveillance accomplice consisted of 1,735 patients with average aftereffect of 23.4 months. Accident of blight was 0.4% per year during surveillance. The all-embracing age- and gender-adjusted SIR for pancreatic blight was 35.0 (95% aplomb akin 26.6, 46.0). Using recursive partitioning, we stratified patients into low (<1%), average (1–5%), and aerial (9–14%) accident of harboring cancerous PCN based on four cross-sectional imaging features: size, pancreatic aqueduct dilatation, septations with calcification as able-bodied as growth. Area beneath the receiver abettor appropriate ambit for the anticipation archetypal was 0.822 (training) and 0.808 (testing).
CONCLUSIONS:
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Risk of pancreatic blight was lower than antecedent letters from surgical alternation but was still decidedly college than the advertence population. A accident stratification arrangement based on accustomed imaging belief may advice adviser approaching administration decisions for patients with PCN.
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[caption id="" align="aligncenter" width="230"]ICD-10-CM Code K86.1 - Other chronic pancreatitis | pancreatic cyst icd 10
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[caption id="" align="aligncenter" width="230"]ICD-10-CM Code K86.2 - Cyst of pancreas | pancreatic cyst icd 10
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