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Incredible encounters sometimes come with little forewarning. One such event happened more than 40 years ago, yet I still often remember it well to this day. ....
Metastatic malignancies by 21.6 Our study supports the individualized approach and continual assessment of surveillance appropriateness among pancreatic cyst population, Farrell and colleagues wrote. Low-risk cyst patients with competing mortality risks will benefit from a shared decision of surveillance cessation/modification. According to recent guidelines, cross-sectional and/or endoscopic ultrasound imaging can detect characteristics associated with malignant progression, and this in turn helps determine the appropriateness of surgical resection for patients at high risk of an advanced pathology or nonsurgical surveillance for those at lower risk. In this setting, CCI has been proposed as a tool to determine comorbidity burden and guide management for patients with mucinous pancreatic cysts (intrapapillary mucinous and mucinous cystic neoplasms), but has not been well studied in lesions without worrisome features and high-risk stigmata. ....