Concomitant Pancreatic Ductal Adenocarcinoma and Type 1 Autoimmune Pancreatitis: A Potential Issue in the Diagnosis of Carcinoma by Endoscopic Ultrasound-guided Fine-needle Biopsy

被引：2

作者：

Kachi, Kenta ^{[1
]}

Naitoh, Itaru ^{[1
]}

Ban, Tesshin ^{[2
]}

Hayashi, Kazuki ^{[1
]}

Yoshida, Michihiro ^{[1
]}

Hori, Yasuki ^{[1
]}

Natsume, Makoto ^{[1
]}

Kato, Akihisa ^{[1
]}

Kito, Yusuke ^{[1
]}

Saito, Kenta ^{[3
]}

Matsuo, Yoichi ^{[3
]}

Kato, Hiroyuki ^{[4
]}

Naiki-Ito, Aya ^{[4
]}

Takahashi, Satoru ^{[4
]}

Notohara, Kenji ^{[5
]}

Kataoka, Hiromi ^{[1
]}

机构：

[1] Nagoya City Univ, Dept Gastroenterol & Metab, Grad Sch Med Sci, Nagoya, Japan

[2] Gamagori Municipal Hosp, Dept Gastroenterol & Hepatol, Gamagori, Japan

[3] Nagoya City Univ, Dept Gastroenterol Surg, Grad Sch Med Sci, Nagoya, Japan

[4] Nagoya City Univ, Dept Expt Pathol & Tumor Biol, Grad Sch Med Sci, Nagoya, Japan

[5] Kurashiki Cent Hosp, Dept Anat Pathol, Kurashiki, Japan

来源：

INTERNAL MEDICINE | 2023年 / 62卷 / 04期

关键词：

autoimmune pancreatitis; endoscopic ultrasound-guided fine-needle biopsy; pancreatic ductal adenocarcinoma; steroid pulse therapy; 22-GAUGE NEEDLE; CANCER; FNA; CRITERIA;

D O I：

10.2169/internalmedicine.0075-22

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

We herein report a 64-year-old man with concomitant pancreatic ductal adenocarcinoma (PDAC) and type 1 autoimmune pancreatitis (AIP). An endoscopic ultrasound-guided fine-needle biopsy (EUS-FNB) from the pancreatic head mass revealed level 2 histology of AIP and atypical glands. We diagnosed definitive focal AIP using the clinical diagnostic criteria. Computed tomography revealed that the pancreatic mass had not been reduced by steroid therapy. Surgery was performed after a histological PDAC diagnosis was made via a transpapillary biliary biopsy. The resected specimen revealed PDAC associated with AIP. It is important to consider the cooccurrence of PDAC and AIP even if the histological diagnosis via an EUS-FNB is AIP.

引用

页码：545 / 551

页数：7

共 50 条

[1] Utility of endoscopic ultrasound-guided fine-needle biopsy in the diagnosis of type 1 autoimmune pancreatitis
Oppong, Kofi W.
Maheshwari, Pardeep
Nayar, Manu K.
Darne, Antony
Parkinson, Daniel
Leeds, John S.
Haugk, Beate
ENDOSCOPY INTERNATIONAL OPEN, 2020, 08 (12) : E1855 - E1861
[2] Endoscopic ultrasound-guided fine-needle biopsy needle can facilitate histological diagnosis of type 1 autoimmune pancreatitis
Kurita, Yusuke
Kubota, Kensuke
Harada, Jotaro
Honda, Yu
Yamazaki, Yuma
Iizuka, Takeshi
Nihei, Shinichi
Hasegawa, Sho
Hosono, Kunihiro
Kobayashi, Noritoshi
Fujii, Satoshi
Endo, Itaru
Nakajima, Atsushi
JOURNAL OF HEPATO-BILIARY-PANCREATIC SCIENCES, 2025, 32 (03) : 238 - 245
[3] Utility of Endoscopic Ultrasound-Guided Fine-Needle Aspiration and Biopsy for Histological Diagnosis of Type 2 Autoimmune Pancreatitis
Hayashi, Hidehiro
Miura, Shin
Fujishima, Fumiyoshi
Kuniyoshi, Shimpei
Kume, Kiyoshi
Kikuta, Kazuhiro
Hamada, Shin
Takikawa, Tetsuya
Matsumoto, Ryotaro
Ikeda, Mio
Sano, Takanori
Kataoka, Fumiya
Sasaki, Akira
Sakano, Misako
Masamune, Atsushi
DIAGNOSTICS, 2022, 12 (10)
[4] Sensitivity of endoscopic ultrasound-guided fine-needle aspiration cytology and biopsy for a diagnosis of pancreatic ductal adenocarcinoma: A comparative analysis
Sugiyama, Tomoko
Tajiri, Takuma
Kurata, Makiko
Hiraiwa, Shinichiro
Fujita, Hirotaka
Machida, Tomohisa
Ito, Hiroyuki
Muraki, Takashi
Yoshii, Hisamichi
Izumi, Hideki
Suzuki, Takayoshi
Mukai, Masaya
Nakamura, Naoya
PATHOLOGY INTERNATIONAL, 2023, 73 (07) : 306 - 316
[5] A deep learning model to detect pancreatic ductal adenocarcinoma on endoscopic ultrasound-guided fine-needle biopsy
Naito, Yoshiki
Tsuneki, Masayuki
Fukushima, Noriyoshi
Koga, Yutaka
Higashi, Michiyo
Notohara, Kenji
Aishima, Shinichi
Ohike, Nobuyuki
Tajiri, Takuma
Yamaguchi, Hiroshi
Fukumura, Yuki
Kojima, Motohiro
Hirabayashi, Kenichi
Hamada, Yoshihiro
Norose, Tomoko
Kai, Keita
Omori, Yuko
Sukeda, Aoi
Noguchi, Hirotsugu
Uchino, Kaori
Itakura, Junya
Okabe, Yoshinobu
Yamada, Yuichi
Akiba, Jun
Kanavati, Fahdi
Oda, Yoshinao
Furukawa, Toru
Yano, Hirohisa
SCIENTIFIC REPORTS, 2021, 11 (01)
[6] A deep learning model to detect pancreatic ductal adenocarcinoma on endoscopic ultrasound-guided fine-needle biopsy
Yoshiki Naito
Masayuki Tsuneki
Noriyoshi Fukushima
Yutaka Koga
Michiyo Higashi
Kenji Notohara
Shinichi Aishima
Nobuyuki Ohike
Takuma Tajiri
Hiroshi Yamaguchi
Yuki Fukumura
Motohiro Kojima
Kenichi Hirabayashi
Yoshihiro Hamada
Tomoko Norose
Keita Kai
Yuko Omori
Aoi Sukeda
Hirotsugu Noguchi
Kaori Uchino
Junya Itakura
Yoshinobu Okabe
Yuichi Yamada
Jun Akiba
Fahdi Kanavati
Yoshinao Oda
Toru Furukawa
Hirohisa Yano
Scientific Reports, 11
[7] ULTRASOUND-GUIDED FINE-NEEDLE BIOPSY IN THE DIAGNOSIS OF PANCREATIC-CARCINOMA
LANKISCH, PG
KEHL, A
DROESE, M
DEUTSCHE MEDIZINISCHE WOCHENSCHRIFT, 1983, 108 (19) : 745 - 747
[8] Concordance of the histological diagnosis of type 1 autoimmune pancreatitis and its distinction from pancreatic ductal adenocarcinoma with endoscopic ultrasound-guided fine needle biopsy specimens: an interobserver agreement study
Notohara, Kenji
Kamisawa, Terumi
Furukawa, Toru
Fukushima, Noriyoshi
Uehara, Takeshi
Kasashima, Satomi
Iwasaki, Eisuke
Kanno, Atsushi
Kawashima, Atsuhiro
Kubota, Kensuke
Kuraishi, Yasuhiro
Motoya, Masayo
Naitoh, Itaru
Nishino, Takayoshi
Sakagami, Junichi
Shimizu, Kyoko
Tomono, Teruko
Aishima, Shinichi
Fukumura, Yuki
Hirabayashi, Kenichi
Kojima, Motohiro
Mitsuhashi, Tomoko
Naito, Yoshiki
Ohike, Nobuyuki
Tajiri, Takuma
Yamaguchi, Hiroshi
Fujiwara, Hideyo
Ibuki, Emi
Kobayashi, Shota
Miyaoka, Masashi
Nagase, Mamiko
Nakashima, Junko
Nakayama, Masamichi
Oda, Shinsuke
Taniyama, Daiki
Tsuyama, Sho
Watanabe, Syunsuke
Ikeura, Tsukasa
Kawa, Shigeyuki
Okazaki, Kazuichi
VIRCHOWS ARCHIV, 2022, 480 (03) : 565 - 575
[9] Concordance of the histological diagnosis of type 1 autoimmune pancreatitis and its distinction from pancreatic ductal adenocarcinoma with endoscopic ultrasound-guided fine needle biopsy specimens: an interobserver agreement study
Kenji Notohara
Terumi Kamisawa
Toru Furukawa
Noriyoshi Fukushima
Takeshi Uehara
Satomi Kasashima
Eisuke Iwasaki
Atsushi Kanno
Atsuhiro Kawashima
Kensuke Kubota
Yasuhiro Kuraishi
Masayo Motoya
Itaru Naitoh
Takayoshi Nishino
Junichi Sakagami
Kyoko Shimizu
Teruko Tomono
Shinichi Aishima
Yuki Fukumura
Kenichi Hirabayashi
Motohiro Kojima
Tomoko Mitsuhashi
Yoshiki Naito
Nobuyuki Ohike
Takuma Tajiri
Hiroshi Yamaguchi
Hideyo Fujiwara
Emi Ibuki
Shota Kobayashi
Masashi Miyaoka
Mamiko Nagase
Junko Nakashima
Masamichi Nakayama
Shinsuke Oda
Daiki Taniyama
Sho Tsuyama
Syunsuke Watanabe
Tsukasa Ikeura
Shigeyuki Kawa
Kazuichi Okazaki
Virchows Archiv, 2022, 480 : 565 - 575
[10] A Comparison of Endoscopic Ultrasound-Guided Fine-Needle Aspiration and Fine-Needle Biopsy in the Diagnosis of Solid Pancreatic Lesions
Ayres, Lachlan R.
Kmiotek, Elizabeth K.
Lam, Eric
Telford, Jennifer J.
CANADIAN JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY, 2018, 2018

← 1 2 3 4 5 →