自身免疫性胰腺炎与胰腺癌的鉴别诊断  

Differential diagnosis of autoimmune pancreatitis from pancreatic cancer

作　　者：张安元 陈浩[2] 赵鹏 龚建平[2] 

机构地区：[1]重庆市荣昌县人民医院肝胆外科,重庆402460 [2]重庆医科大学附属第二医院肝胆外科,重庆400010

出　　处：《临床肝胆病杂志》2015年第5期783-786,共4页Journal of Clinical Hepatology

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。Autoimmune pancreatitis （AIP）is a special form of chronic pancreatitis.Although many clinical guidelines for AIP have been carried out,but clinically differentiating AIP from pancreatic cancer remains difficult.Based on some guidelines for AIP and latest relevant literature,this article summarizes the key points in differentiating AIP from pancreatic cancer in the aspects of clinical symptoms,serological changes,radiological changes,and steroid response.By analyzing the above key points,the accurate diagnosis of pancreatic tumor can be realized,and some patients with AIP will avoid unnecessary laparotomy.

关 键 词：胰腺炎 胰腺肿瘤 诊断 鉴别 综述 

分 类 号：R657.51[医药卫生—外科学] R735.9[医药卫生—临床医学]