본문 바로가기
KERD
논문KCI 등재

췌관내 유두상 점액종양을 동반한 국소종괴형 자가면역성췌장염 1예

Localized Mass-Forming Autoimmune Pancreatitis Associated with an Intraductal Papillary Mucinous Neoplasm Mimicking Pancreatic Cancer

2

조회

0

다운로드

0

인용

0

참고문헌

키워드

주제분류내과학

초록

Autoimmune pancreatitis (AIP) has been increasingly recognized in recent years, and most cases are diagnosed without surgery. However, focal-type mass-forming AIP is difficult to differentiate from pancreatic cancer without surgical resection. A 61-year-oldmale patient with a clinical impression of pancreatic cancer underwent surgery. A postoperative pathologic examination showed locallydense lymphoplasma cell infiltration and numerous lymphoid follicles with fibrosis and a low-grade intraductal papillary mucinousneoplasm (IPMN). Here, we report the first case of localized mass-forming AIP combined with a low-grade IPMN, whichmimicked pancreatic cancer, in Korea.

Abstract

Autoimmune pancreatitis (AIP) has been increasingly recognized in recent years, and most cases are diagnosed without surgery. However, focal-type mass-forming AIP is difficult to differentiate from pancreatic cancer without surgical resection. A 61-year-oldmale patient with a clinical impression of pancreatic cancer underwent surgery. A postoperative pathologic examination showed locallydense lymphoplasma cell infiltration and numerous lymphoid follicles with fibrosis and a low-grade intraductal papillary mucinousneoplasm (IPMN). Here, we report the first case of localized mass-forming AIP combined with a low-grade IPMN, whichmimicked pancreatic cancer, in Korea.

참고문헌 (10)

  1. Shimosegawa T, "International consensus diagnostic criteria for autoimmune pancreatitis: guidelines of the international association of pancreatology", Pancreas, 40, pp.352~358 (2011)
  2. Hammami M, "Autoimmune pancreatitis mimicking pancreatic cancer", N Am J Med Sci, 3, pp.520~523 (2011)
  3. Brauner E, "Autoimmune pancreatitis misdiagnosed as a tumor of the head of the pancreas", World J Gastrointest Surg, 4, pp.185~189 (2012)
  4. Fukui T, "Pancreatic cancer associated with autoimmune pancreatitis in remission", Intern Med, 47, pp.151~155 (2008)
  5. Pezzilli R, "Pancreatic ductal adenocarcinoma associated with autoimmune pancreatitis", Case Rep Gastroenterol, 5, pp.378~385 (2011)
  6. Naitoh I, "Intraductal papillary mucinous neoplasm associated with autoimmune pancreatitis", Pancreas, 42, pp.552~554 (2013)
  7. 장영주, "담도암과 감별이 어려웠던 국소형 자가면역성 췌장염", 대한내과학회지, 80, pp.121~125 (2011), 대한내과학회
  8. Jong-Won Sohn, "A Case of Autoimmune Pancreatitis Manifested by a Pseudocyst and IgG4- Associated Cholangitis", Gut and Liver, 6(1), pp.132~135 (2012), 거트앤리버 발행위원회
  9. Muraki T, "Corticosteroid- responsive pancreatic cyst found in autoimmune pancreatitis", J Gastroenterol, 40, pp.761~766 (2005)
  10. Bateman AC, "Intraduct papillary mucinous neoplasm of the pancreas: a tumour linked with IgG4-related disease", J Clin Pathol, 66, pp.671~675 (2013)

관련 논문AI추천

이 간행물의 다른 논문 (9건)