|
KMID : 0882420130850060609
|
|
Korean Journal of Medicine
2013 Volume.85 No. 6 p.609 ~ p.613
|
|
|
Differentiation of Mass-Forming Autoimmune Pancreatitis from Pancreatic Cancer Using A 2-Week Steroid Trial
|
|
Kim Jeong-Seok
Kim Jin-Yong
Kang Dang-Uk
Kim Ho-Cheol
Moon Min-Young
Won Sung-Hyun
Kim Myung-Hwan
|
|
|
Abstract
|
|
|
|
The differentiation of mass-forming autoimmune pancreatitis (AIP) from pancreatic cancer is critical because AIP can be successfully treated with steroid therapy and unnecessary surgery avoided. We herein report a case of 69-year-old male with a prior history of recurrent AIP who developed a pancreatic body mass with upstream duct dilatation. Laboratory findings were nonspecific for AIP or pancreatic cancer, although an endoscopic ultrasonography-guided biopsy revealed chronic inflammation. To differentiate mass-forming AIP from pancreatic cancer, we administered oral steroids for 2 weeks. After steroid therapy, a computed tomography scan revealed a decrease in the pancreatic mass size and improvement in dilatation of the upstream duct. So we could differentiate mass-forming AIP from pancreatic cancer; thereafter resolution of pancreatic lesion could be achieved with further steroid therapy. In conclusion, a 2-week steroid trial followed by radiologic imaging was helpful to differentiate mass-forming AIP from pancreatic cancer.
|
|
|
KEYWORD
|
|
|
Autoimmune, Pancreatitis, Pancreatic cancer, Steroid, Mass
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
  
|