IgG4相关性硬化性胆管炎误诊为肝门部胆管癌1例报告

谢乾坤; 石小举; 胡月雷; 柴文刚; 吕国悦

doi:10.3969/j.issn.1001-5256.2018.05.035

IgG4相关性硬化性胆管炎误诊为肝门部胆管癌1例报告

DOI: 10.3969/j.issn.1001-5256.2018.05.035

吉林大学第一医院肝胆胰外科

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中图分类号: R575.7
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出版历程
- 出版日期: 2018-05-20

IgG4-associated sclerosing cholangitis misdiagnosed as hilar cholangiocarcinoma:a case report

Department of Hepatobiliary and Pancreatic Surgery, The First Hospital of Jilin University

摘要

摘要: <正>IgG4相关性硬化性胆管炎（immunoglobulin G4-related sclerosing cholangitis,IgG4-SC）是IgG4相关性疾病的胆管受累表现,是以血清IgG4水平升高及胆管大量IgG4阳性浆细胞浸润并伴有纤维化形成为特征的自身免疫性疾病。IgG4-SC的影像学特征和临床表现与胆管癌类似,易误诊为胆管癌而过度治疗。
- 胆管炎,硬化性 /
- 免疫球蛋白G /
- 胆管肿瘤 /
- 病例报告
- cholangitis, sclerosing /
- immuneglobulin G /
- bile duct neoplasms /
- case reports

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参考文献(11)

[1]CARRUTHERS MN, KHOSROSHAHI A, AUGUSTIN T, et al.The diagnostic utility of serum Ig G4 concentrations in Ig G4-related disease[J].Ann Rheum Dis, 2015, 74 (1) :14.

[2]ZHANG WW, FAN YG.Ig G4-related sclerosing cholangitis:report of one case[J].J Clin Hepatol, 2015, 31 (9) :1492-1493. (in Chinese) 张温温, 范永刚.Ig G4相关性硬化性胆管炎1例报告[J].临床肝胆病杂志, 2015, 31 (9) :1492-1493.

[3]KAHN A, YADAV AD, HARRISON ME.Ig G4-seronegative autoimmune pancreatitis and sclerosing cholangitis[J].Case Rep Gastrointest Med, 2015, 2015:591360.

[4]KAMISAWA T, FUNATA N, HAYASHI Y, et al.A new clinicopathological entity of Ig G4-related autoimmune disease[J].J Gastroenterol, 2003, 38 (10) :982-984.

[5]BERNTSEN NL, KLINGENBERG O, JURAN BD, et al.Association between HLA haplotypes and increased serum levels of IGG4 in patients with primary sclerosing cholangitis[J].Gastroenterology, 2015, 148 (5) :924.

[6]JOSHI D, WEBSTER GJ.Review article:biliary and hepatic involvement in Ig G4-related disease.[J].Aliment Pharmacol Ther, 2014, 40 (11-12) :1251-1261.

[7]OHARA H, OKAZAKI K, TSUBOUCHI H, et al.Clinical diagnostic criteria of Ig G4-related sclerosing cholangitis 2012.[J].J Hepatobiliary Pancreat Sci, 2012, 19 (5) :536-542.

[8]LI ZF, FAN HJ, SUN LJ, et al.Advances in research of immunoglobulin G4-related sclerosing cholangitis[J].World Chin J Dig, 2016, 24 (30) :4156-4161. (in Chinese) 李哲夫, 范海静, 孙良金, 等.Ig G4相关性硬化性胆管炎的研究进展[J].世界华人消化杂志, 2016, 24 (30) :4156-4161.

[9]SUN D, GENG C, WU YK, et al.Ig G4-associated sclerosing cholangitis misdiagnosed as cholangiocarcinoma:a case report and literature reviews[J].Chin J Bases Clin Gen Surg, 2017, 24 (5) :626-628. (in Chinese) 孙丹, 耿冲, 武永康, 等.1例Ig G4相关性硬化性胆管炎误诊为胆管癌的病例分析并文献复习[J].中国普外基础与临床杂志, 2017, 24 (5) :626-628.

[10]LIU J, ZHANG SX, YANG YY, et al.Application of 18F-FDG PET/CT in diagnosis and treatment of Ig G4 related disease[J].J Clin Exp Med, 2017, 16 (22) :2282-2284. (in Chinese) 刘俊, 张抒欣, 杨园园, 等.18F-FDG PET/CT在Ig G4相关性疾病诊疗中的应用[J].临床和实验医学杂志, 2017, 16 (22) :2282-2284.

[11]YE D, LI GH.Current status of diagnosis and treatment of Ig G4-related sclerosing cholangitis[J].J Clin Hepatol, 2016, 32 (10) :2021-2025. (in Chinese) 叶丹, 李国华.Ig G4相关性硬化性胆管炎的诊治现状[J].临床肝胆病杂志, 2016, 32 (10) :2021-2025.

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