局灶性自身免疫性胰腺炎:具有挑战性诊断的简单流程图

IF 1.3 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Ultrasound International Open Pub Date : 2020-12-01 Epub Date: 2021-01-19 DOI:10.1055/a-1323-4906
Clara Benedetta Conti, Fabrizio Cereatti, Andrea Drago, Roberto Grassia
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引用次数: 3

摘要

自身免疫性胰腺炎是一种慢性纤维炎症性自身免疫性胰腺疾病。临床上以梗阻性无痛性黄疸和上腹部疼痛为主要症状。局灶性AIP的特征是胰腺实质的节段性受累,影像学上常表现为胰腺肿块。在这些病例中,诊断非常具有挑战性,因为它很容易与胰腺癌混淆。因此,我们建议结合影像学检查作为诊断检查。超声造影联合超声造影和弹性成像,如果可以的话,增加了排除癌症方法的准确性。此外,病变应始终在EUS指导下取样,以获得细胞/组织学诊断。诊断检查还应包括使用诊断临床标准(胰腺外病变,类固醇反应)和实验室结果(CA 19.9和IgG4评估)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Focal Autoimmune Pancreatitis: A Simple Flow Chart for a Challenging Diagnosis.

Autoimmune pancreatitis is a chronic fibroinflammatory autoimmune mediated disease of the pancreas. Clinically, obstructive painless jaundice and upper abdominal pain are the main symptoms. Focal AIP is characterized by segmental involvement of pancreatic parenchyma and it is often radiologically represented by a pancreatic mass. In these cases, the diagnosis can be very challenging, since it may be easily confused with pancreatic cancer. Therefore, we suggest a combined approach of imaging tests as the diagnostic workup. EUS study combined with CEUS and elastography, if available, increases the accuracy of the method to rule out cancer. Moreover, the lesion should always be sampled under EUS guidance to obtain a cyto/histological diagnosis. The diagnostic workup should also include the use of diagnostic clinical criteria (extrapancreatic lesions, steroid response) and laboratory findings (CA 19.9 and IgG4 evaluations).

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来源期刊
Ultrasound International Open
Ultrasound International Open RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-
CiteScore
3.00
自引率
0.00%
发文量
7
审稿时长
12 weeks
期刊最新文献
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