自身免疫性胰腺炎与胰腺癌的鉴别诊断

发布时间：2018-10-12 15:21

【摘要】：自身免疫性胰腺炎(AIP)是慢性胰腺炎的一种特殊类型。尽管关于AIP的各种临床指南相继推行,但在临床上,AIP与胰腺癌的鉴别仍十分困难。参考AIP的指南及最新的相关文献,总结了关于AIP与胰腺癌的临床表现、血清学改变、影像学改变及激素反应四个方面的鉴别诊断要点。通过综合分析上述鉴别要点,胰腺占位患者的正确诊断可以得以明确,一些AIP患者也可以避免不必要的开腹手术。
[Abstract]:Autoimmune pancreatitis (AIP) is a special type of chronic pancreatitis. Although various clinical guidelines on AIP have been carried out, it is still very difficult to differentiate AIP from pancreatic cancer clinically. With reference to the guidelines of AIP and the latest relevant literature, the differential diagnosis points of AIP and pancreatic cancer, including clinical manifestations, serological changes, imaging changes and hormone responses, were summarized. By comprehensive analysis of the above differential points, the correct diagnosis of pancreatic occupying patients can be made clear, and some patients with AIP can avoid unnecessary open surgery.
【作者单位】： 重庆市荣昌县人民医院肝胆外科;重庆医科大学附属第二医院肝胆外科;
【分类号】：R657.51;R735.9

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