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胰腺癌误诊为自身免疫性胰腺炎一例并文献复习

邓卫平 陈松 马娟

中国全科医学Issue(16):1920-1923,4.
中国全科医学Issue(16):1920-1923,4.DOI:10.3969/j.issn.1007-9572.2014.16.030

胰腺癌误诊为自身免疫性胰腺炎一例并文献复习

Transverse Colon Lymphoma Being Misdiagnosed as Autoimmune Pancreatitis:One Case Report and Literature Review

邓卫平 1陈松 2马娟1

作者信息

  • 1. 510080广东省广州市,广东省人民医院/广东省医学科学院消化科
  • 2. 汕头市澄海区人民医院消化科
  • 折叠

摘要

Abstract

Pancreatic cancer is often mild and may be even asymptomatic in early stage so that it is diagnosed difficultly and responds poor to treatment and prognosis. Sometimes it is difficult to identify pancreatic cancer from autoimmune pancreatitis (AIP). AIP,a special type of chronic pancreatitis with chronic epigastric pain as its clinical manifestations,is so easily misdi-agnosed as pancreatic cancer that patients may have unnecessary surgery. Recently,the clinical physicians have had more and more knowledge of AIP,the misdiagnosis of pancreatic cancer as AIP is reduced than before,but diffuse type being misdiagnosed as pancreatic cancer occasionally occurs. The article reports a case who was highly suspected as AIP by imaging examination and after failure of glucocorticoid treatment finally diagnosed as pancreatic cancer by needle biopsy. The report is to suggest that for suspicious cases,the clinical physicians should not overlook the possibilities of common disease in diagnosing complicated incura-ble diseases and should carry out pathological examination earlier in case of delayed therapy.

关键词

胰腺肿瘤/胰腺炎,慢性/自身免疫性胰腺炎/病理学,临床

Key words

Pancreatic neoplasms/Pancreatitis,chronic/Autoimmune pancreatitis/Pathology,clinical

分类

医药卫生

引用本文复制引用

邓卫平,陈松,马娟..胰腺癌误诊为自身免疫性胰腺炎一例并文献复习[J].中国全科医学,2014,(16):1920-1923,4.

基金项目

国家自然科学基金资助项目(81001112);广州市科技局珠江科技新星项目 ()

中国全科医学

OA北大核心CSCDCSTPCD

1007-9572

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