폐쇄성 황달로 발현한 임프형질세포 경화성 췌장염 1예
A case of lymphoplasmacytic sclerosing pancreatitis presenting as an obstructive jaundice
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초록
LPSP는 자가면역성 췌장염의 병리소견으로 악ㆍ양성병변의 감별이 어려워 시행하는 Whipple씨 술식에서 양성병변 중 가장 흔하다. 본 증례는 폐쇄성 황달을 주소로 내원한 67세 남자에서 악ㆍ양성병변의 감별이 어려워 whipple씨 술식을 시행하고 LPSP를 진단한 예를 경험하여 보고하는 바이다.
Abstract
Lymphoplasmacytic sclerosing pancreatitis, also referred to as autoimmune pancreatitis, is a benign disease characterized by irregular narrowing of the pancreatic duct, swelling of the pancreatic parenchyma, lymphoplasmacytic infiltration and fibrosis. A few cases with locally affected lesions show features similar to cancer. Lymphoplasmacytic sclerosing pancreatitis is the most common benign disease in patients undergoing Whipple resection for a presumed pancreatic malignancy. We report a case of lymphoplasmacytic sclerosing pancreatitis diagnosed after surgery in a patient presenting with obstructive jaundice, with a review of the literature.(Korean J Med 72:663-667, 2007)
참고문헌 (13)
- Abraham SC, "Pancreaticoduodenectomy (Whipple resections) in patients without malignancy: are they all ‘chronic pancreatitis’?", Am J Surg Pathol, 27, pp.110~120 (2003)
- Hardacre JM, "Results of pancreaticoduodenectomy for lymphoplasmacytic sclerosing pancreatitis", Ann Surg, 237, pp.853~858 (2003)
- Kawamoto S, "Lymphoplasmacytic sclerosing pancreatitis with obstructive jaundice: CT and pathology Features", AJR Am J Roentgenol, 183, pp.915~921 (2004)
- Kloppel G, "Autoimmune pancreatitis: pathological findings", JOP, 6(Suppl), pp.97~101 (2005)
- 김규표, "자가면역성 만성 췌장염 17예의 임상상", 대한소화기학회지, 43(2), pp.112~119 (2004), 대한소화기학회
- Okazaki K, "Autoimmune-related pancreatitis is associated with autoantibodies and a Th1", Th2- type cellular immune response, 2000, pp.118, 573~581
- Members of the criteria committee for autoimmune pancreatitis of the Japan Pancreas Society, "Diagnostic criteria for autoimmune pancreatitis by the Japan Pancreas Society", J Jpn Pancreas Soc, 17, pp.587~ (2002)
- Weber SM, "Lymphoplasmacytic sclerosing pancreatitis: inflammatory mimic of pancreatic carcinoma", J Gastrointest Surg, 7, pp.129~137 (2003)
- Sahani DV, "Autoimmune pancreatitis: imaging features", Radiology, 233, pp.345~352 (2004)
- Farrell JJ, "EUS findings in patients with autoimmune pancreatitis", Gastrointest Endosc, 60, pp.927~936 (2004)
- Hirano K, "Pancreatic mass lesions associated with raised concentration of IgG4", Am J Gastroentrol, 99, pp.2038~2040 (2004)
- Pearson RK, "Controversies in clinical pancreatology: autoimmune pancreatitis: does it exist?", Pancreas, 27, pp.1~13 (2003)
- Nishino T, "Biliary tract involvement in autoimmune pancreatitis", Pancreas, 30, pp.76~82 (2005)