Huo Meisi, Li Jinhua, Wu Shuqi, Yan Shiyan
Department of Gastroenterology Xinhua Hospital, Shanghai Jiaotong University School of Medicine Shanghai China.
Department of Pathology Xinhua Hospital, Shanghai Jiaotong University School of Medicine Shanghai China.
Clin Case Rep. 2025 Jul 13;13(7):e70617. doi: 10.1002/ccr3.70617. eCollection 2025 Jul.
In patients presenting with multiple space-occupying lesions, preserved general condition, and normal or mildly elevated tumor markers, IgG4-related disease (IgG4-RD) should be considered in the differential diagnosis. We report an extremely unusual case of IgG4-RD mimicking metastatic malignancy, with polyserositis and widespread abdominal lymphadenopathy.
对于出现多个占位性病变、一般状况良好且肿瘤标志物正常或轻度升高的患者,鉴别诊断时应考虑IgG4相关性疾病(IgG4-RD)。我们报告了一例极为罕见的IgG4-RD病例,其表现类似转移性恶性肿瘤,伴有多浆膜炎和广泛的腹部淋巴结病。