题名 |
Isolated IgG4-Related Sclerosing Cholangitis Mimicking Cholangiocarcinoma: A Case Report |
并列篇名 |
像膽管癌的單獨IgG4相關性硬化性膽管炎-病例報告 |
作者 |
陳昆忠(Kun-Zhong Chen);柯萬盛(Wang-Sheng Ko) |
关键词 |
IgG4 ; IgG4-related sclerosing cholangitis ; lgG4 ; IgG4相關性硬化性膽管炎 |
期刊名称 |
醫學與健康期刊 |
卷期/出版年月 |
7卷1期(2018 / 03 / 01) |
页次 |
105 - 111 |
内容语文 |
英文 |
中文摘要 |
An 82-year-old man was admitted for intermittent upper abdominal pain that had lasted for one month. Abdominal Computed Tomography and Magnetic Resonance Cholangiopancreatography revealed dilated bilateral intrahepatic bile ducts and a mass-like lesion at the bifurcation of intrahepatic ducts. Klatskin tumor was highly suspected and surgical treatment was performed. Pathological report revealed common bile duct with abundant IgG4-positive plasma cells and lymph nodes with reactive lymphoid hyperplasia. Subsequently, serum IgG4 level found to be substantially increased, leading to a diagnosis of IgG4-related sclerosing cholangitis (IgG4-SC). Because malignant tumors are frequently suspected on initial presentation, clinicians should differentiate malignant tumors from IgG4-SC, because IgG4-SC responds well to steroid therapy. |
英文摘要 |
一名82歲男性因間歇性上腹痛一個月而住院,腹部電腦斷層及膽道磁振造影檢查顯示肝内膽管擴大,並在肝内膽管分叉處有一個疑似腫瘤,當時高度懷疑Klatskin腫瘤,並進行手術治療。病理報告顯示膽總管具有豐富的IgG4陽性漿細胞,及淋巴結具有反應性淋巴樣增生,同時血清IgG4濃度升高,確定診斷為IgG4相關性硬化性膽管炎。此疾病對類固醇治療反應良好及初始常懷疑膽管惡性腫瘤,所以IeG4相關性硬化性膽管炎應該考慮予以鑑別診斷。 |
主题分类 |
醫藥衛生 >
預防保健與衛生學 醫藥衛生 > 社會醫學 |
参考文献 |
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