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2008•The Korean Journal of Internal MedicineOpen access

Mass-forming focal-type autoimmune pancreatitis difficult to differentiate from pancreatic cancer

Jae-Keun Lee, Myung‐Hwan Kim, Jeung-Hye Han, Taeyoon Lee, Sang‐Su Lee, Dong Wan Seo, Sung‐Koo Lee

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Abstract

Autoimmune chronic pancreatitis (AIP) typically manifests as diffuse pancreatic swelling and diffuse irregular narrowing of the main pancreatic duct. Recently, mass-forming focal-type AIP, which shows focal pancreatic swelling with mass and focal narrowing of the main pancreatic duct, has been reported. Since this type of AIP is difficult to differentiate from pancreatic cancer, the greater part of these cases have been treated surgically, with the diagnosis confirmed thereafter. Here we report a case of mass-forming focal-type AIP detected in the head of the pancreas; it has been successfully treated with steroids. (Korean J Med 74:667-671, 2008)

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What this paper is about

Autoimmune chronic pancreatitis (AIP) typically manifests as diffuse pancreatic swelling and diffuse irregular narrowing of the main pancreatic duct. Recently, mass-forming focal-type AIP, which shows focal pancreatic swelling with mass and focal narrowing of the main pancreatic duct, has been reported. Since this type of AIP is difficult to differentiate from pancreatic cancer, the greater part of these cases have been treated surgically, with the diagnosis confirmed thereafter. Here we report a case of mass-forming focal-type AIP detected in the head of the pancreas; it has been successfully treated with steroids. (Korean J Med 74:667-671, 2008)

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Available abstract

Autoimmune chronic pancreatitis (AIP) typically manifests as diffuse pancreatic swelling and diffuse irregular narrowing of the main pancreatic duct. Recently, mass-forming focal-type AIP, which shows focal pancreatic swelling with mass and focal narrowing of the main pancreatic duct, has been reported. Since this type of AIP is difficult to differentiate from pancreatic cancer, the greater part of these cases have been treated surgically, with the diagnosis confirmed thereafter. Here we report a case of mass-forming focal-type AIP detected in the head of the pancreas; it has been successfully treated with steroids. (Korean J Med 74:667-671, 2008)

Key concepts: Medicine, Autoimmune pancreatitis, Pancreatic cancer, Pancreatitis, Pancreatic duct, Pancreas, Pancreatic head, Pancreatic mass

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