The Korean Journal of Internal Medicine

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Original Article
Korean J Med. 2008;74(6):667-671.
증례 : 췌장암과 감별이 어려웠던 국소형 종괴형성 자가면역성 췌장염
이재근, 김명환, 한정혜, 이태윤, 이상수, 서동완, 이성구
Mass-forming focal-type autoimmune pancreatitis difficult to differentiate from pancreatic cancer
Jae Keun Lee, Myung-Hwan Kim, Jeung Hye Han, Tae Yoon Lee, Sang Su Lee, Dong Wan Seo, Sung Koo Lee
경희대학교 의과대학 순환기내과학교실


Abstract
Autoimmune chronic pancreatitis (AIP) typically manifests as diffuse pancreatic swelling and diffuse irregular narrowing of the main pancreatic duct. Recently, mass-forming focal-type AIP, which shows focal pancreatic swelling with mass and focal narrowing of the main pancreatic duct, has been reported. Since this type of AIP is difficult to differentiate from pancreatic cancer, the greater part of these cases have been treated surgically, with the diagnosis confirmed thereafter. Here we report a case of mass-forming focal-type AIP detected in the head of the pancreas; it has been successfully treated with steroids.

Keywords :Autoimmune pancreatitis, Mass forming, Focal type, Steroid
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