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伪装成胰腺癌的狼疮性胰腺炎：一种罕见的临床表现。

Lupus Pancreatitis Masquerading as Pancreatic Cancer: A Rare Clinical Presentation.

作者信息

Lanke Gandhi, Songtanin Busara, Das Kanak

机构信息

Division of Gastroenterology, Department of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, TX.

Department of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, TX.

出版信息

ACG Case Rep J. 2023 Sep 23;10(9):e01157. doi: 10.14309/crj.0000000000001157. eCollection 2023 Sep.

DOI:10.14309/crj.0000000000001157
PMID:37753102
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10519543/
Abstract

Systemic lupus erythematosus (SLE) is an autoimmune multisystemic inflammatory disease. SLE-associated pancreatitis is uncommon, and pancreatic cancer in SLE is very rare. Imaging findings in SLE with pancreatitis can mimic malignancy. Endoscopic ultrasound with fine-needle aspiration/biopsy can guide in the accurate diagnosis and management of SLE-associated pancreatitis.

摘要

系统性红斑狼疮（SLE）是一种自身免疫性多系统炎症性疾病。SLE相关的胰腺炎并不常见，而SLE患者发生胰腺癌则极为罕见。SLE合并胰腺炎的影像学表现可能类似恶性肿瘤。内镜超声引导下细针穿刺抽吸/活检有助于准确诊断和处理SLE相关的胰腺炎。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23dc/10519543/67cd0078e513/ac9-10-e01157-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23dc/10519543/3cebf8a5cabe/ac9-10-e01157-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23dc/10519543/48499766409c/ac9-10-e01157-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23dc/10519543/67cd0078e513/ac9-10-e01157-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23dc/10519543/3cebf8a5cabe/ac9-10-e01157-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23dc/10519543/48499766409c/ac9-10-e01157-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23dc/10519543/67cd0078e513/ac9-10-e01157-g003.jpg

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本文引用的文献

1
Risk of pancreatic cancer in patients with systemic lupus erythematosus: a meta-analysis.系统性红斑狼疮患者患胰腺癌的风险：荟萃分析。
Clin Rheumatol. 2019 Nov;38(11):3109-3116. doi: 10.1007/s10067-019-04660-9. Epub 2019 Jul 3.
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The Interface of Pancreatic Cancer With Diabetes, Obesity, and Inflammation: Research Gaps and Opportunities: Summary of a National Institute of Diabetes and Digestive and Kidney Diseases Workshop.胰腺癌与糖尿病、肥胖症及炎症的关联：研究差距与机遇：美国国立糖尿病、消化和肾脏疾病研究所研讨会综述
Pancreas. 2018 May/Jun;47(5):516-525. doi: 10.1097/MPA.0000000000001037.
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Correlation between systemic lupus erythematosus and malignancies: a cross-sectional population-based study.
系统性红斑狼疮与恶性肿瘤之间的相关性：一项基于人群的横断面研究。
Immunol Res. 2017 Apr;65(2):464-469. doi: 10.1007/s12026-016-8885-8.
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DNA-damaging autoantibodies and cancer: the lupus butterfly theory.DNA 损伤自身抗体与癌症：狼疮蝴蝶理论。
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Systemic lupus erythematosus and malignancies risk.系统性红斑狼疮与恶性肿瘤风险
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Chronic pancreatitis and systemic lupus erythematosus: an uncommon association.慢性胰腺炎与系统性红斑狼疮：一种不常见的关联。
Case Rep Gastroenterol. 2008 Jan 10;2(1):6-10. doi: 10.1159/000112861.
7
Pancreatitis and systemic lupus erythematosus.胰腺炎与系统性红斑狼疮
Rev Esp Enferm Dig. 2009 Aug;101(8):571-9. doi: 10.4321/s1130-01082009000800009.
8
Chronic calcifying pancreatitis and systemic lupus erythematous.
Pancreas. 2005 Oct;31(3):289-90. doi: 10.1097/01.mpa.0000175162.34704.6b.
9
Systemic lupus erythematosus as a cause and prognostic factor of acute pancreatitis.系统性红斑狼疮作为急性胰腺炎的病因及预后因素。
J Rheumatol. 2004 Apr;31(4):707-12.
10
Chronic pancreatitis associated with systemic lupus erythematosus in a young girl.一名年轻女孩中与系统性红斑狼疮相关的慢性胰腺炎。
Pancreas. 2003 Oct;27(3):275-7. doi: 10.1097/00006676-200310000-00016.