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Concomitant Pancreatic Ductal Adenocarcinoma and Type 1 Autoimmune Pancreatitis: A Potential Issue in the Diagnosis of Carcinoma by Endoscopic Ultrasound-guided Fine-needle Biopsy.
Kachi, Kenta; Naitoh, Itaru; Ban, Tesshin; Hayashi, Kazuki; Yoshida, Michihiro; Hori, Yasuki; Natsume, Makoto; Kato, Akihisa; Kito, Yusuke; Saito, Kenta; Matsuo, Yoichi; Kato, Hiroyuki; Naiki-Ito, Aya; Takahashi, Satoru; Notohara, Kenji; Kataoka, Hiromi.
Afiliação
  • Kachi K; Department of Gastroenterology and Metabolism, Nagoya City University Graduate School of Medical Sciences, Japan.
  • Naitoh I; Department of Gastroenterology and Metabolism, Nagoya City University Graduate School of Medical Sciences, Japan.
  • Ban T; Department of Gastroenterology and Hepatology, Gamagori Municipal Hospital, Japan.
  • Hayashi K; Department of Gastroenterology and Metabolism, Nagoya City University Graduate School of Medical Sciences, Japan.
  • Yoshida M; Department of Gastroenterology and Metabolism, Nagoya City University Graduate School of Medical Sciences, Japan.
  • Hori Y; Department of Gastroenterology and Metabolism, Nagoya City University Graduate School of Medical Sciences, Japan.
  • Natsume M; Department of Gastroenterology and Metabolism, Nagoya City University Graduate School of Medical Sciences, Japan.
  • Kato A; Department of Gastroenterology and Metabolism, Nagoya City University Graduate School of Medical Sciences, Japan.
  • Kito Y; Department of Gastroenterology and Metabolism, Nagoya City University Graduate School of Medical Sciences, Japan.
  • Saito K; Department of Gastroenterological Surgery, Nagoya City University Graduate School of Medical Sciences, Japan.
  • Matsuo Y; Department of Gastroenterological Surgery, Nagoya City University Graduate School of Medical Sciences, Japan.
  • Kato H; Department of Experimental Pathology and Tumor Biology, Nagoya City University Graduate School of Medical Sciences, Japan.
  • Naiki-Ito A; Department of Experimental Pathology and Tumor Biology, Nagoya City University Graduate School of Medical Sciences, Japan.
  • Takahashi S; Department of Experimental Pathology and Tumor Biology, Nagoya City University Graduate School of Medical Sciences, Japan.
  • Notohara K; Department of Anatomic Pathology, Kurashiki Central Hospital, Japan.
  • Kataoka H; Department of Gastroenterology and Metabolism, Nagoya City University Graduate School of Medical Sciences, Japan.
Intern Med ; 62(4): 545-551, 2023 Feb 15.
Article em En | MEDLINE | ID: mdl-35831103
ABSTRACT
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.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Neoplasias Pancreáticas / Pancreatite / Doenças Autoimunes / Carcinoma Ductal Pancreático / Pancreatite Autoimune Tipo de estudo: Diagnostic_studies Limite: Humans / Male / Middle aged Idioma: En Ano de publicação: 2023 Tipo de documento: Article
Texto completo
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Neoplasias Pancreáticas / Pancreatite / Doenças Autoimunes / Carcinoma Ductal Pancreático / Pancreatite Autoimune Tipo de estudo: Diagnostic_studies Limite: Humans / Male / Middle aged Idioma: En Ano de publicação: 2023 Tipo de documento: Article