Histopathologic characteristics of autoimmune pancreatitis based on comparison with chronic pancreatitis

被引:34
作者
Suda, K [1 ]
Takase, M [1 ]
Fukumura, Y [1 ]
Ogura, K [1 ]
Ueda, A [1 ]
Matsuda, T [1 ]
Suzuki, F [1 ]
机构
[1] Juntendo Univ, Sch Med, Dept Pathol, Bunkyo Ku, Tokyo 1138421, Japan
关键词
autoimmune pancreatitis; histopathologic characteristics; lymphoplasmacytic infiltration; fibrosis; obliterative phlebitis;
D O I
10.1097/01.mpa.0000160283.41580.88
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Objectives: To clarify the histopathologic characteristics of autoimmune pancreatitis (AIP), based on comparison with both chronic alcoholic pancreatitis ( CAP) and chronic obstructive pancreatitis ( COP). Methods: Three AIP patients, 17 CAP patients, and 19 COP patients were studied histopathologically. Results: There was a dense lymphoplasmacytic infiltrate, especially within and around the pancreatic ducts, and fibrosis associated with AIP, while there was fibrosis accompanied by mild inflammatory infiltration in both CAP and COP. Inter- and intralobular fibrosis admixed with acinar atrophy was observed in both AIP and COP, while interlobular fibrosis combined with a "cirrhosis-like'' appearance was found in CAP. Obliterative phlebitis was found in AIP, while thrombosis of the splenic vein was exhibited in CAP. Conclusion: Autoimmune pancreatitis was histologically characterized by dense lymphoplasmacytic infiltrate combined with fibrosis, acinar atrophy, obliterative phlebitis, and ductal involvement.
引用
收藏
页码:355 / 358
页数:4
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