췌장암과 감별이 어려웠던 국소형 종괴형성 자가면역성 췌장염
Mass-forming focal-type autoimmune pancreatitis difficult to differentiate from pancreatic cancer
5
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Autoimmune chronic pancreatitis (AIP) typically manifests as diffuse pancreatic swelling and diffuse irregular narrowing of the main pancreatic duct. Recently, mass-forming focal-type AIP, which shows focal pancreatic swelling with mass and focal narrowing of the main pancreatic duct, has been reported. Since this type of AIP is difficult to differentiate from pancreatic cancer, the greater part of these cases have been treated surgically, with the diagnosis confirmed thereafter. Here we report a case of mass-forming focal-type AIP detected in the head of the pancreas; it has been successfully treated with steroids. (Korean J Med 74:667-671, 2008)
Abstract
Autoimmune chronic pancreatitis (AIP) typically manifests as diffuse pancreatic swelling and diffuse irregular narrowing of the main pancreatic duct. Recently, mass-forming focal-type AIP, which shows focal pancreatic swelling with mass and focal narrowing of the main pancreatic duct, has been reported. Since this type of AIP is difficult to differentiate from pancreatic cancer, the greater part of these cases have been treated surgically, with the diagnosis confirmed thereafter. Here we report a case of mass-forming focal-type AIP detected in the head of the pancreas; it has been successfully treated with steroids. (Korean J Med 74:667-671, 2008)
참고문헌 (19)
- Sarles H, "Chronic inflammatory sclerosis of the pancreas: an autonomous pancreatic disease?", Am J Dig Dis, 6, pp.688~698 (1961)
- Yoshida K, "Chronic pancreatitis caused by an autoimmune abnormality: proposal of the concept of autoimmune pancreatitis", Dig Dis Sci, 40, pp.1561~1568 (1995)
- Kim JY, "A case of autoimmune chronic pancreatitis improved with oral steroid therapy", Korean J Gastroenterol, 39, pp.304~308 (2002)
- Ito T, "Autoimmune pancreatitis as a new clinical entity: three cases of autoimmune pancreatitis with effective steroid therapy", Dig Dis Sci, 42, pp.1458~1468 (1997)
- Ectors N, "Non-alcoholic duct destructive chronic pancreatitis", Gut, 41, pp.263~268 (1997)
- Horiuchi A, "Autoimmune chronic pancreatitis simulating pancreatic lymphoma", Am J Gastroenterol, 91, pp.2607~2609 (1996)
- Horiuchi A, "Characteristic pancreatic duct appearance in autoimmune chronic pancreatitis: a case report and review of the Japanese literature", Am J Gastroenterol, 93, pp.260~263 (1998)
- Ohana M, "Multiple pancreatic masses associated with autoimmunity", Am J Gastroenterol, 93, pp.99~102 (1998)
- Taniguchi T, "Autoimmune pancreatitis detected as a mass in the tail of the pancreas", J Gastroenterol Hepatol, 15, pp.461~464 (2000)
- Taniguchi T, "Autoimmune pancreatitis detected as a mass in the head of the pancreas without hypergammaglobulinemia, which relapsed after surgery: case report and review of the literature", Dig Dis Sci, 48, pp.1465~1471 (2003)
- Nakazawa T, "Difficulty in diagnosing autoimmune pancreatitis by imaging findings", Gastrointest Endosc, 65, pp.99~108 (2007)
- Chari ST, "Diagnosis of autoimmune pancreatitis: the Mayo Clinic experience", Clin Gastroenterol Hepatol, 4, pp.1010~1016 (2006)
- Servais A, "Autoimmune pancreatitis mimicking cancer of the head of pancreas: report of two cases", Gastroenterol Belg, 64, pp.227~230 (2001)
- Wakabayashi T, "Clinical and imaging features of autoimmune pancreatitis with focal pancreatic swelling or mass formation: comparison with so-called tumor-forming pancreatitis and pancreatic carcinoma", Am J Gastroenterol, 98, pp.2679~2687 (2003)
- Irie H, "Autoimmune pancreatitis: CT and MR characteristics", AJR Am J Roentgenol, 170, pp.1323~1327 (1998)
- Uchida K, "Case of chronic pancreatitis involving an autoimmune mechanism that extended to retroperitoneal fibrosis", Pancreas, 26, pp.92~94 (2003)
- Horiuchi A, "ERCP features in 27 patients with autoimmune pancreatitis", Gastrointest Endosc, 55, pp.494~499 (2002)
- Koga Y, "Autoimmune pancreatitis starting as a localized form", J Gastroenterol, 37, pp.133~137 (2002)
- Kwon S, "The diagnostic criteria for autoimmune chronic pancreatitis: it is time to make a consensus", Pancreas, 34, pp.279~286 (2007)
