Concomitant Pancreatic Ductal Adenocarcinoma and Type 1 Autoimmune Pancreatitis: A Potential Issue in the Diagnosis of Carcinoma by Endoscopic Ultrasound-guided Fine-needle Biopsy

被引：2

作者：

Kachi, Kenta ^{[1
]}

Naitoh, Itaru ^{[1
]}

Ban, Tesshin ^{[2
]}

Hayashi, Kazuki ^{[1
]}

Yoshida, Michihiro ^{[1
]}

Hori, Yasuki ^{[1
]}

Natsume, Makoto ^{[1
]}

Kato, Akihisa ^{[1
]}

Kito, Yusuke ^{[1
]}

Saito, Kenta ^{[3
]}

Matsuo, Yoichi ^{[3
]}

Kato, Hiroyuki ^{[4
]}

Naiki-Ito, Aya ^{[4
]}

Takahashi, Satoru ^{[4
]}

Notohara, Kenji ^{[5
]}

Kataoka, Hiromi ^{[1
]}

机构：

[1] Nagoya City Univ, Dept Gastroenterol & Metab, Grad Sch Med Sci, Nagoya, Japan

[2] Gamagori Municipal Hosp, Dept Gastroenterol & Hepatol, Gamagori, Japan

[3] Nagoya City Univ, Dept Gastroenterol Surg, Grad Sch Med Sci, Nagoya, Japan

[4] Nagoya City Univ, Dept Expt Pathol & Tumor Biol, Grad Sch Med Sci, Nagoya, Japan

[5] Kurashiki Cent Hosp, Dept Anat Pathol, Kurashiki, Japan

来源：

INTERNAL MEDICINE | 2023年 / 62卷 / 04期

关键词：

autoimmune pancreatitis; endoscopic ultrasound-guided fine-needle biopsy; pancreatic ductal adenocarcinoma; steroid pulse therapy; 22-GAUGE NEEDLE; CANCER; FNA; CRITERIA;

D O I：

10.2169/internalmedicine.0075-22

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

We herein report a 64-year-old man with concomitant pancreatic ductal adenocarcinoma (PDAC) and type 1 autoimmune pancreatitis (AIP). An endoscopic ultrasound-guided fine-needle biopsy (EUS-FNB) from the pancreatic head mass revealed level 2 histology of AIP and atypical glands. We diagnosed definitive focal AIP using the clinical diagnostic criteria. Computed tomography revealed that the pancreatic mass had not been reduced by steroid therapy. Surgery was performed after a histological PDAC diagnosis was made via a transpapillary biliary biopsy. The resected specimen revealed PDAC associated with AIP. It is important to consider the cooccurrence of PDAC and AIP even if the histological diagnosis via an EUS-FNB is AIP.

引用

页码：545 / 551

页数：7

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