ICD-9-CM 782.2 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 782.2 should only be used for claims with a date of service on or before September 30, 2015. Short description: Local suprficial swellng. Several studies have shown that multidisciplinary care in specialized referral centers optimizes outcomes and diminishes comorbid complications.Ĭopyright 2014 by the American Academy of Orthopaedic Surgeons. Localized superficial swelling, mass, or lump. Clinicians without significant experience in treating soft-tissue masses should consider referral to a musculoskeletal oncologist for specialized care when a definitive diagnosis of a benign lesion cannot be made. A diagnosis must be established before definitive treatment with surgical excision or, in rare cases, radiation therapy is performed. When the initial evaluation is inconclusive, biopsy must be performed. These modalities aid the clinician in developing an appropriate differential diagnosis and treatment plan. MRI is the imaging modality of choice for diagnosis of soft-tissue masses, with CT and ultrasonography used as secondary options. Appropriate imaging studies must be obtained based on clinical indications. A detailed history and physical examination must be performed. Proper management of these lesions requires a specific process of evaluation. The ADC value might be useful for diagnosing the malignancy of nonmyxoid soft tissue tumors.Soft-tissue masses of the extremities are common entities encountered by nearly all providers of musculoskeletal patient care. The mean ADC value of benign nonmyxoid tumors (1.31 +/- 0.46 x 10(-3) mm(2)/s) was significantly higher than that of malignant nonmyxoid tumors (0.94 +/- 0.25 x 10(-3) mm(2)/s) (P < 0.001). There was no significant difference in the mean ADC values between benign myxoid tumors (2.10 +/- 0.50 x 10(-3) mm(2)/s) and malignant myxoid tumors (2.05 +/- 0.58 x 10(-3) mm(2)/s). We then compared the ADC values of the myxoid and nonmyxoid tumors the benign and malignant myxoid tumors and the benign, intermediate, and malignant nonmyxoid tumors. The tumors were classified histologically as myxoid or nonmyxoid.
Images of the tumors were obtained using a single-shot, spin-echo type echo-planar imaging sequence. We examined 88 histologically proven tumors (44 benign, 8 intermediate, 36 malignant) using diffusion-weighted magnetic resonance images. We evaluated the efficacy of using the apparent diffusion coefficient (ADC) to differentiate soft tissue tumors.
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