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一种罕见的非肿瘤性胰腺肿块:通过超声内镜引导下细针穿刺活检诊断嗜酸性胰腺炎

A rare non-oncological pancreatic mass: eosinophilic pancreatitis diagnosis through EUS-FNA.

作者信息

De Moura Diogo Turiani Hourneaux, Rocha Rodrigo Silva de Paula, Jukemura José, Brunaldi Vitor Ottoboni, Guedes Hugo Gonçalo, Torrez Franz Robert Apodaca, Ribeiro Igor Braga, Gelrud Andres, De Moura Eduardo Guimarães Hourneaux

机构信息

Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Endoscopic Unit, Gastrointestinal Department, São Paulo, Brazil.

Hospital São Paulo da Universidade Federal de São Paulo, Gastrointestinal Surgery Department, São Paulo, Brazil.

出版信息

Endosc Int Open. 2019 Feb;7(2):E151-E154. doi: 10.1055/a-0806-7099. Epub 2019 Jan 18.

Abstract

Eosinophilic pancreatitis (EP) is a rare etiology of chronic pancreatitis, and few cases have been reported. It is characterized by eosinophilic infiltration of the pancreas and elevated IgE levels. EP is difficult to distinguish from pancreatic cancer based on clinical symptoms and auxiliary exams. We present a case of EP and debate the routine performance of endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) for resectable pancreatic mass.

摘要

嗜酸性胰腺炎(EP)是慢性胰腺炎的一种罕见病因,鲜有病例报道。其特征为胰腺嗜酸性粒细胞浸润及免疫球蛋白E(IgE)水平升高。基于临床症状和辅助检查,EP很难与胰腺癌区分开来。我们报告一例EP病例,并探讨内镜超声引导下细针穿刺活检(EUS-FNA)在可切除胰腺肿块中的常规应用。

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