Localized Mass-Forming Autoimmune Pancreatitis Associated with an Intraductal Papillary Mucinous Neoplasm Mimicking Pancreatic Cancer |
Hyo Jin Kim1, Hee Jin Bang2, Kee-Taek Jang2, Jung Hee Kim1, Eun-young Jang1, Kyu Choi1, Kwang Hyuck Lee1 |
1Departments of Internal Medicine, Samsung Medical Center, Sunkyunkwan University School of Medicine, Seoul, Korea 2Departments of Pathology, Samsung Medical Center, Sunkyunkwan University School of Medicine, Seoul, Korea |
췌관내 유두상 점액종양을 동반한 국소종괴형 자가면역성 췌장염 1예 |
김효진1, 방희진2, 장기택2, 김정희1, 장은영1, 최규1, 이광혁1 |
1성균관대학교 의과대학 삼성서울병원 내과 2성균관대학교 의과대학 삼성서울병원 병리과 |
Correspondence:
Kwang Hyuck Lee, Tel: +82-2-3410-1628, Fax: +82-2-3410-6983, Email: kwanghyuck.lee@samsung.com |
Received: 29 April 2013 • Revised: 27 May 2013 • Accepted: 17 June 2013 |
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This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
Abstract |
Autoimmune pancreatitis (AIP) has been increasingly recognized in recent years, and most cases are diagnosed without surgery. However, focal-type mass-forming AIP is difficult to differentiate from pancreatic cancer without surgical resection. A 61-year-old male patient with a clinical impression of pancreatic cancer underwent surgery. A postoperative pathologic examination showed locally dense lymphoplasma cell infiltration and numerous lymphoid follicles with fibrosis and a low-grade intraductal papillary mucinous neoplasm (IPMN). Here, we report the first case of localized mass-forming AIP combined with a low-grade IPMN, which mimicked pancreatic cancer, in Korea. (Korean J Med 2014;86:466-471) |
Key Words:
Autoimmune disease; Chronic pancreatitis; Pancreatic neoplasms |
주제어:
자가면역성 췌장염; 췌관내 유두상 점액종양; 췌장암 |
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