Back to Search
Start Over
Branch Duct Intraductal Papillary Mucinous Neoplasms of the Pancreas Involving Type 1 Localized Autoimmune Pancreatitis with Normal Serum IgG4 Levels Successfully Diagnosed by Endoscopic Ultrasound-guided Fine-needle Aspiration and Treated without Pancreatic Surgery
- Source :
- Internal Medicine
- Publication Year :
- 2017
- Publisher :
- Japanese Society of Internal Medicine, 2017.
-
Abstract
- We herein report a 68-year-old man with branch duct intraductal papillary mucinous neoplasms of the pancreas (BD-IPMNs) involving type 1 localized autoimmune pancreatitis (AIP) with normal serum IgG4 levels. Although he was referred to our medical center due to suspicion of pancreatic cancer concomitant with BD-IPMNs, endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) revealed a mass suspected of being pancreatic cancer to be type 1 AIP. Steroid administration notably reduced the mass. Although the clinical diagnosis of pancreatic masses in patients with IPMN can be occasionally challenging, performing a pathological examination by EUS-FNA may prevent unnecessary pancreatic surgery in cases of possible AIP.
- Subjects :
- Male
Endoscopic ultrasound
medicine.medical_specialty
Case Report
endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA)
Autoimmune Diseases
Branch Duct
03 medical and health sciences
0302 clinical medicine
Pancreatic cancer
Internal Medicine
medicine
Humans
Endoscopic Ultrasound-Guided Fine Needle Aspiration
autoimmune pancreatitis (AIP)
Pathological
Aged
Autoimmune pancreatitis
medicine.diagnostic_test
business.industry
General Medicine
medicine.disease
Adenocarcinoma, Mucinous
medicine.anatomical_structure
Fine-needle aspiration
Bile Duct Neoplasms
Pancreatitis
030220 oncology & carcinogenesis
Concomitant
intraductal papillary mucinous neoplasms of the pancreas (IPMN)
030211 gastroenterology & hepatology
Radiology
Pancreas
business
Subjects
Details
- ISSN :
- 13497235 and 09182918
- Volume :
- 56
- Database :
- OpenAIRE
- Journal :
- Internal Medicine
- Accession number :
- edsair.doi.dedup.....0e368ee5760f30b9acc9391a20b9316d