AUTOIMMUNE PANCREATITIS ASSOCIATED WITH GASTRIC CANCER

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  • 早期胃癌を合併した自己免疫性膵炎の1例

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Abstract

A 75-year-old man was admitted to hospital due to epigastralgia and abnormal liver function tests. The serum IgG4 level was 601 mg/dl. The patient was f indlly diagnosed as having gastric cancer associated with autoimmune pancreatitis (AIP). The patient had gastric cancer surgery. Subseguently corticosteroid was given to treat the AIP. After the start of steroid therapy, move than 15 months ago, the patient is doing well on maintenance therapy. Furthermore, the infiltration of IgG4-positive plasma cells present in this patient's swollen duodenal papilla improved with corticosteroids therapy. This response supports the diagnosis of AIP.

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