临床误诊误治2017，Vol.30Issue(1)：25-28,4.DOI:10.3969/j.issn.1002-3429.2017.01.009
自身免疫性胰腺炎误诊为胰腺癌三例临床分析
Clinical Analysis of 3 Autoimmune Pancreatitis Patients Misdiagnosed as Having Pancreatic Cancer
孙丽媛 1涂玉亮 1焦华波 1朱自满 1赵伟 1吴雷超 1景圆圆1
作者信息
- 1. 100048 北京，解放军总医院第一附属医院肝胆胰脾外科
- 折叠
摘要
Abstract
Objective To summarize clinical features,misdiagnosed causes and treatment methods of autoimmune pancreatitis( AIP). Methods Clinical data of 3 AIP patients during September 2015 and April 2016 was retrospectively ana-lyzed. Results The 3 patients were all males,one patient had painless progressive jaundice,and the second patient had ma-ransis and diarrhoea,and the third patient had back pain and apocleisis. Pancreatic enlargement existed totally or partially, and cholangiectasis was found in exterior and interior of liver,which prompted pancreatic or bile duct occupying lesions by ico-nography examination for the 3 patients. The patients were all misdiagnosed as having pancreatic cancer in other hospitals. Their serum levels of tumor makers were normal,and immunoglobulin G4(IgG4)levels were elevated after admission in our hospital,and AIP was confirmed. One patient underwent endoscopic retrograde cholangiopancreatography of common bile duct stent implantation,and glucocorticoids treatment was given,and then stent was taken off in postoperative 3 months when he was in a stable condition. The other 2 patients received glucocorticoids treatment. The 3 patients were in stable conditions. Conclusion AIP should be suspected for doubt pancreatic cancer patients with pancreatic diffuse enlargement. Serum immu-nological test and experimental glucocorticoid therapy should be performed to help differential diagnosis in order to avoid misdi-agnosis and unnecessary operations.关键词
胰腺炎,慢性/免疫系统疾病/误诊/胰腺肿瘤Key words
Pancreatitis,chronic/Immune system diseases/Misdiagnosis/Pancreatic neoplasms分类
医药卫生引用本文复制引用
孙丽媛,涂玉亮,焦华波,朱自满,赵伟,吴雷超,景圆圆..自身免疫性胰腺炎误诊为胰腺癌三例临床分析[J].临床误诊误治,2017,30(1):25-28,4.
