单中心Castleman病合并2型自身免疫性胰腺炎：一例模拟胰腺癌和近惠普尔手术

IF 0.6 Q4 GASTROENTEROLOGY & HEPATOLOGY

ACG Case Reports Journal Pub Date : 2025-03-03 eCollection Date: 2025-03-01 DOI:10.14309/crj.0000000000001635

Joel Gabin Konlack Mekontso, Akil Olliverrie, Jingwei Ren, Veronika Stefanishina, Syed Karim, Shahbaz Khan, Thomas McIntyre, Mohammad Choudhry

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引用次数: 0

摘要

这个病例描述了一个46岁的男性，表现为胃脘痛、体重减轻和梗阻性黄疸，最初由于胰头肿块压迫胆总管而误诊为胰腺癌。术中活检发现自身免疫性胰腺炎和Castleman病共存。本病例强调了Castleman病的诊断挑战，其与自身免疫性胰腺炎的潜在关联，以及组织学分析在区分其与恶性肿瘤中的关键作用。

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Unicentric Castleman Disease Coexisting With Type 2 Autoimmune Pancreatitis: A Case Report Mimicking Pancreatic Cancer and Near-Whipple Surgery.

This case describes a 46-year-old man presenting with epigastric pain, weight loss, and obstructive jaundice, initially misdiagnosed as pancreatic cancer due to a pancreatic head mass compressing the common bile duct. Intraoperative biopsies during an aborted Whipple procedure revealed coexisting autoimmune pancreatitis and Castleman disease. This case highlights the diagnostic challenges of Castleman disease, its potential association with autoimmune pancreatitis, and the critical role of histological analysis in differentiating it from malignancy.

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来源期刊

ACG Case Reports Journal GASTROENTEROLOGY & HEPATOLOGY-

自引率

14.30%

发文量

170

审稿时长

12 weeks

期刊介绍： ACG Case Reports Journal is a peer-reviewed, open-access publication that provides GI and hepatology fellows, private practice clinicians, and other healthcare providers an opportunity to share interesting case reports with their peers and with leaders in the field. ACG Case Reports Journal publishes case reports, images, videos and letters to the editor in all topics of gastroenterology and hepatology, including: Biliary Colon Endoscopy Esophagus Functional Bowel Disorders Inflammatory Bowel Disease Liver Nutrition and Obesity Pancreas Pathology Pediatric Small Bowel Stomach.