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中华肝脏外科手术学电子杂志 ›› 2024, Vol. 13 ›› Issue (02) : 121 -126. doi: 10.3877/cma.j.issn.2095-3232.2024.02.001

所属专题: 述评 综述 文献

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自身免疫性胰腺炎和胰腺导管腺癌鉴别的策略与思考
白睿1, 孙备1,()   
  1. 1. 150001 哈尔滨医科大学附属第一医院胰胆外科 肝脾外科教育部重点实验室
  • 收稿日期:2023-10-24 出版日期:2024-04-10
  • 通信作者: 孙备
  • 基金资助:
    国家自然科学基金(82070658,82270665); 黑龙江省自然科学基金团队项目(TD2021H001)

Strategy and thinking of differentiating autoimmune pancreatitis from pancreatic ductal adenocarcinoma

Rui Bai1, Bei Sun1,()   

  1. 1. Department of Pancreatic and Biliary Surgery, Key Laboratory of Hepatosplenic Surgery of Ministry of Education, the First Affiliated Hospital of Harbin Medical University, Harbin 150001, China
  • Received:2023-10-24 Published:2024-04-10
  • Corresponding author: Bei Sun
引用本文:

白睿, 孙备. 自身免疫性胰腺炎和胰腺导管腺癌鉴别的策略与思考[J/OL]. 中华肝脏外科手术学电子杂志, 2024, 13(02): 121-126.

Rui Bai, Bei Sun. Strategy and thinking of differentiating autoimmune pancreatitis from pancreatic ductal adenocarcinoma[J/OL]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2024, 13(02): 121-126.

自身免疫性胰腺炎(AIP)是一种特殊类型的胰腺炎,通常表现为无痛性梗阻性黄疸、轻度腹痛或急性胰腺炎。临床中常与胰腺导管腺癌(PDAC)相混淆,而其治疗和预后截然不同,术前明确鉴别诊断较为困难。本文将从临床表现、影像学、血清学、组织病理学等多方面阐述二者的区别,并对一些难题进行相应探讨。

Autoimmune pancreatitis (AIP) is a special type of pancreatitis, which primarily manifests as painless obstructive jaundice, mild abdominal pain or acute pancreatitis. In clinical practice, it is constantly misdiagnosed with pancreatic ductal adenocarcinoma (PDAC), whereas treatment and prognosis of these two conditions are completely different. Prior to surgery, it is difficult to make a definite differential diagnosis. In this article, the differences between them were illustrated from clinical manifestations, imaging, serological and histopathological characteristics, and relevant challenging problems were discussed accordingly.

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