Digestive Diseases Centre, Derby Hospitals NHS Foundation Trust, Uttoxeter Road, Derby DE22 3NE, UK.
Singapore Med J. 2011 Apr;52(4):e79-81.
Autoimmune pancreatitis is a rare cause of chronic pancreatitis and pancreatic mass. We describe a case of focal autoimmune pancreatitis in a 51-year-old man presenting with obstructive jaundice and pancreatic mass, mimicking malignancy. The immunological test was suggestive of autoimmune pancreatitis, and the patient responded well to a course of steroids, with complete resolution of the pancreatic mass. Autoimmune pancreatitis, therefore, must be kept in mind as a differential diagnosis of pancreatic mass. Recognition of this disease by its typical radiological and serological findings may help to avoid unnecessary surgical resection.
自身免疫性胰腺炎是慢性胰腺炎和胰腺肿块的罕见病因。我们描述了一例 51 岁男性局灶性自身免疫性胰腺炎的病例，该患者表现为阻塞性黄疸和胰腺肿块，类似于恶性肿瘤。免疫学检查提示自身免疫性胰腺炎，患者对类固醇治疗反应良好，胰腺肿块完全消退。因此，自身免疫性胰腺炎在胰腺肿块的鉴别诊断中必须牢记。通过其典型的影像学和血清学发现来识别这种疾病可能有助于避免不必要的手术切除。
