Cholangiocarcinoma Resembling IgG4-related Sclerosing Cholangitis

被引：0
|
作者：
Akahoshi, Kazuaki [1 ]
Kanno, Atsushi [1 ]
Miwata, Tetsurou [1 ]
Nagai, Hiroki [1 ]
Yokoyama, Kensuke [1 ]
Ikeda, Eriko [1 ]
Ando, Kozue [1 ]
Tamada, Kiichi [1 ]
Fukushima, Noriyoshi [2 ]
Lefor, Alan Kawarai [3 ]
Yamamoto, Hironori [1 ]
机构：
[1] Jichi Med Univ, Dept Med, Div Gastroenterol, Shimotsuke, Japan
[2] Jichi Med Univ, Dept Diagnost Pathol, Shimotsuke, Japan
[3] Jichi Med Univ, Dept Surg, Shimotsuke, Japan
来源：
INTERNAL MEDICINE | 2023年 / 62卷 / 23期
关键词：
immunoglobulin G4-related sclerosing cholangitis; cholangiocarcinoma; immunoglobulin G4-related disease; Sister Mary Joseph's nodule; RISK;
D O I：
10.2169/internalmedicine.1144-22
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
A 66-year-old man diagnosed with immunoglobulin G4-related sclerosing cholangitis (IgG4-SC) with diffuse intrahepatic bile duct stenosis and elevated serum IgG4 levels was referred for a further examination because of elevated serum carbohydrate antigen 19-9 levels despite treatment with corticosteroids. An umbilical nodule was found on a physical examination and a biopsy showed adenocarcinoma. Although several imaging studies revealed no changes from prior studies, bile cytology collected by endoscopic retrograde cholangiopancreatography showed adenocarcinoma. Consequently, the patient was diagnosed with cholangiocarcinoma resembling IgG4-SC after detecting an umbilical metastasis, also known as Sister Mary Joseph's nodule.
引用
收藏
页码：3495 / 3500
页数：6
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