A case of concurrent pancreatic intraepithelial neoplasia and type 1 autoimmune pancreatitis with marked pancreatic duct dilatation

2016 ◽  
Vol 9 (4) ◽  
pp. 266-271 ◽  
Author(s):  
Yuichi Takano ◽  
Masatsugu Nagahama ◽  
Eiichi Yamamura ◽  
Naotaka Maruoka ◽  
Kazuaki Yokomizo ◽  
...  
Suizo ◽  
2015 ◽  
Vol 30 (2) ◽  
pp. 219-226 ◽  
Author(s):  
Yasunari FUKUDA ◽  
Tadafumi ASAOKA ◽  
Atsushi MIYAMOTO ◽  
Kiyoshi MORI ◽  
Yoshinori KODAMA ◽  
...  

2019 ◽  
Vol 69 (3) ◽  
pp. 165-171
Author(s):  
Tomoko Sugiyama ◽  
Takuma Tajiri ◽  
Shinichiro Hiraiwa ◽  
Tomohisa Machida ◽  
Hiroyuki Ito ◽  
...  

Pancreatology ◽  
2016 ◽  
Vol 16 (4) ◽  
pp. S56-S57
Author(s):  
Kenji Notohara ◽  
Takahiro Nakazawa ◽  
Tsuyoshi Uehara ◽  
Shigeyuki Kawa

2018 ◽  
Vol 27 (1) ◽  
pp. 83-87 ◽  
Author(s):  
Shinya Fujie ◽  
Hiroyuki Matsubayashi ◽  
Hirotoshi Ishiwatari ◽  
Hiromasa Hazama ◽  
Takaaki Ito ◽  
...  

A 70-year-old man was referred to our hospital with exacerbation of diabetes. His blood tests showed elevated levels of serum IgG4 and HbA1c. Computed tomography of the pancreatic body demonstrated a weakly enhanced mass, 2 cm in size, with indistinct borders. Magnetic resonance cholangiopancreatography revealed a narrowing of the main pancreatic duct (MPD) at the pancreatic body, a markedly dilated upstream duct, and a slightly dilated downstream duct. Endoscopic ultrasonography demonstrated an iso-hypoechoic heterogeneous mass, protruding and spreading in the pancreatic duct. The histology of a fine needle aspiration sample demonstrated fibrous tissue containing abundant IgG4-positive plasma cells and atypical epithelial cells. The imaging findings and histology were not typical for either pancreatic ductal adenocarcinoma or type 1 autoimmune pancreatitis (AIP), but these were not completely excluded, and a distal pancreatectomy was performed. Histological examination showed an intraductal tubulopapillary epithelial proliferation, which contained cytoplasmic mucin (MUC5AC and MUC6), and severe IgG4-positive lymphoplasmacytic infiltration in the interstitium around the MPD. Next-generation sequencing using DNA extracted from the tumor revealed no mutation of K-ras, GNAS, or TP53. The entire lesion was ultimately diagnosed as AIP with an intraductal tubular and papillary epithelial hyperplasia producing gastric-type mucin. Some recent reports have described AIP development in the background of intraductal papillary mucinous neoplasms, and some have hypothesized a paraneoplastic occurrence of IgG4-related disease. The current case indicates issues in the clinical diagnosis of rare variants of AIP, and raises questions about the relationship between AIP and pancreatic epithelial lesions.


Author(s):  
Junya Sato ◽  
Hiroyuki Matsubayashi ◽  
Hirotoshi Ishiwatari ◽  
Tatsunori Satoh ◽  
Junichi Kaneko ◽  
...  

2021 ◽  
Vol 99 (1) ◽  
pp. 146-148
Author(s):  
Hironori Tanei ◽  
Reina Tanaka ◽  
Takayoshi Tsuchiya ◽  
Kentaro Ishii ◽  
Ryosuke Tonozuka ◽  
...  

2018 ◽  
Vol 12 (3) ◽  
pp. 232-238 ◽  
Author(s):  
Yuichi Takano ◽  
Takahiro Kobayashi ◽  
Fumitaka Niiya ◽  
Eiichi Yamamura ◽  
Naotaka Maruoka ◽  
...  

2011 ◽  
Vol 6 (1) ◽  
pp. 82 ◽  
Author(s):  
Yoh Zen ◽  
Dimitrios P Bogdanos ◽  
Shigeyuki Kawa

Sign in / Sign up

Export Citation Format

Share Document