Type 2 autoimmune pancreatitis diagnosed after resection and difficult to differentiate from cancer of the pancreatic body

  • YANO Hiroki
    Digestive and Lifestyle Diseases, Kagoshima University Graduate School of Medical and Dental Sciences
  • HASHIMOTO Shinichi
    Digestive and Lifestyle Diseases, Kagoshima University Graduate School of Medical and Dental Sciences
  • TAGUCHI Hiroki
    Digestive and Lifestyle Diseases, Kagoshima University Graduate School of Medical and Dental Sciences
  • TANOUE Shiroh
    Digestive and Lifestyle Diseases, Kagoshima University Graduate School of Medical and Dental Sciences
  • IWAYA Hiromichi
    Digestive and Lifestyle Diseases, Kagoshima University Graduate School of Medical and Dental Sciences
  • ARIMA Shiho
    Digestive and Lifestyle Diseases, Kagoshima University Graduate School of Medical and Dental Sciences
  • SASAKI Fumisato
    Digestive and Lifestyle Diseases, Kagoshima University Graduate School of Medical and Dental Sciences
  • KANMURA Shuji
    Digestive and Lifestyle Diseases, Kagoshima University Graduate School of Medical and Dental Sciences
  • HIGASHI Michiyo
    Pathology, Kagoshima University Graduate School of Medical and Dental Sciences
  • IDO Akio
    Digestive and Lifestyle Diseases, Kagoshima University Graduate School of Medical and Dental Sciences

Bibliographic Information

Other Title
  • 膵体部癌との鑑別に難渋し,切除標本により診断し得た2型自己免疫性膵炎の1例

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Abstract

<p>The patient is a 46-year-old woman admitted with epigastric pain and nausea. She was found to have elevated pancreatic enzymes and treated for acute pancreatitis. Imaging findings showed uneven contrast enhancement of the pancreatic body to tail and enlargement of the caudal pancreatic duct. A pancreatic tumor was suspected. Although no definitive histologic diagnosis was obtained using endoscopic ultrasonography-guided fine needle aspiration (EUS-FNA), the possibility of pancreatic body cancer could not be ruled out, and resection was performed. The resected specimen showed characteristic histologic findings, leading to a diagnosis of type 2 autoimmune pancreatitis.</p>

Journal

  • Suizo

    Suizo 35 (5), 447-454, 2020-10-30

    Japan Pancreas Society

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