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自身免疫性胰腺炎的诊断挑战

The diagnostic challenges of autoimmune pancreatitis.

作者信息

Papp Kata, Angst Eliane, Seidel Stefan, Flury-Frei Renata, Hetzer Franc Heinrich

机构信息

Clinic of Surgery and Orthopedics, Schaffhausen, Switzerland.

Clinic of Surgery and Orthopedics, Schaffhausen, Switzerland ; Department of Visceral Surgery and Medicine, Inselspital, University of Bern, Bern, Switzerland.

出版信息

Case Rep Gastroenterol. 2015 Feb 12;9(1):56-61. doi: 10.1159/000377623. eCollection 2015 Jan-Apr.

Abstract

Autoimmune pancreatitis is a rare but important differential diagnosis from pancreatic cancer. This autoimmune disease can mimic pancreatic cancer by its clinical symptoms, including weight loss and jaundice. Furthermore imaging findings may include a mass of the pancreas. Here we present the case of a 67-year-old male patient diagnosed with autoimmune pancreatitis but showing the well-known symptoms of pancreatic cancer. This emphasizes the difficulties of histological findings and the importance of the correct diagnostic process.

摘要

自身免疫性胰腺炎是一种罕见但重要的需要与胰腺癌进行鉴别诊断的疾病。这种自身免疫性疾病可通过其临床症状(包括体重减轻和黄疸)来模仿胰腺癌。此外,影像学检查结果可能包括胰腺肿块。在此,我们报告一例67岁男性患者,他被诊断为自身免疫性胰腺炎,但表现出胰腺癌的典型症状。这强调了组织学检查结果的困难以及正确诊断过程的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8dc8/4357679/90f91c0439d0/crg-0009-0056-g01.jpg

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