伴有梗阻性黄疸的淋巴浆细胞性硬化性胰腺炎：病例报告及文献复习
Lymphoplasmacytic sclerosing pancreatitis with obstructive jaundice: a case report and review of the literature.
作者信息
Wang Gang, Zhu Hong, Yuan Chen-Xi, Gao Yue, Li Jun, Xue Dong-Bo, Sun Bei
机构信息
Department of Hepatobiliary Pancreatic Surgery, the First Affiliated Hospital of Harbin Medical University, Heilongjiang Province, People's Republic of China.
出版信息
Onkologie. 2009 Sep;32(8-9):506-8. doi: 10.1159/000226592. Epub 2009 Jul 27.
BACKGROUND
Lymphoplasmacytic sclerosing pancreatitis (LPSP) is a unique form of chronic pancreatitis and a tumor-like lesion simulating a carcinoma process clinically and radiographically.
CASE REPORT
Herein, we presented a case of a patient with LPSP mimicking pancreatic carcinoma, who was admitted to our institution and subsequently treated with a Whipple procedure. This case typifies the growing awareness of this new clinicopathologic entity and the importance for LPSP to be included in the differential diagnosis of pancreaticobiliary disease.
CONCLUSION
LPSP represents a diagnostic challenge which deserves more attention in the clinical management. An accurate preoperative diagnosis of LPSP can avoid pancreaticoduodenectomy in these patients.
背景
淋巴浆细胞性硬化性胰腺炎（LPSP）是一种独特的慢性胰腺炎形式，是一种在临床和影像学上模拟癌性过程的肿瘤样病变。
病例报告
在此，我们报告一例疑似胰腺癌的LPSP患者，该患者入住我院，随后接受了惠普尔手术。该病例体现了对这种新的临床病理实体认识的不断提高，以及LPSP在胆胰疾病鉴别诊断中的重要性。
结论
LPSP是一项诊断挑战，在临床管理中值得更多关注。准确的术前LPSP诊断可避免这些患者接受胰十二指肠切除术。
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