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第57卷 第1期 2024-1
Isolated lower leg monoplegia due to traumatic intraparenchymal hemorrhage

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Reflections on the association between cholecystectomy, cholelithiasis, and colorectal cancer

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Molluscum contagiosum, false positive, and incidence: Concern in surgery

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New form of COVID-19 vaccine: A new advanced technology for fighting the remained problem

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COVID-19 vaccination, acute appendicitis, interrelationship, and jointed probability: A concern

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Role of clinical surgery in management of adverse effect of COVID-19 vaccine

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Trends in global research for treating COVID-19 vaccine–related acute appendicitis: A bibliographic analysis

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Heterologous vaccination, from rabies vaccine to COVID-19 vaccine: View in clinical surgery

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A huge gastric trichobezoar presenting with Rapunzel syndrome: A case report

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Multidisciplinary team approach for treating recurrent gastrointestinal bleeding caused by a Dieulafoy lesion

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Early decompressive surgery within 72 hours of admission maintains financial advantages for patients with spinal epidural abscess, as evidenced by a retrospective study involving 130 cases

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Hepatobiliary surgery in Taiwan: The past, present, and future. Part I; biliary surgery

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第56卷 第6期 2023-11
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第56卷 第6期 2023-11
Jejunojujunal intussusception as a rare complication of feeding jejunostomy

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Candida auris and new concern in clinical surgery

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篇名 Autoimmune pancreatitis type 2: Mimicking pancreatic cancer
作者 Tien‑An Lin, Tse‑Ching Chen, Jeng‑Hwei Tseng, Ta‑Sen Yeh
卷期/出版年月 53卷3期 (2020/6)
頁次 113-116
摘要 Autoimmune pancreatitis (AIP) is a rare disease, which comprises two distinct forms of steroid response chronic pancreatitis. AIP type 2 with no association to IgG level and more confined to the pancreas makes it hard to differentiate with pancreatic cancer preoperatively. Here, we present two cases that were preoperatively diagnosed as pancreatic cancer but turn out to be AIP type 2. The first case is a 55-year-old male with epigastric pain, body weight loss and obstructive jaundice. He also had elevated liver enzyme, but tumor marker and IgG4 level were within normal range. The image studies showed the pancreatic head mass. The pylorus‑preserving pancreaticoduodenectomy was performed. The second case is a 35‑year‑old female with epigastric pain and fever. The laboratory data were within the normal range except elevated C‑reactive protein level. The magnetic resonance cholangiopancreatography showed a lobulated mass at the pancreatic tail with regional lymphadenopathy. The laparoscopic distal pancreatectomy with splenectomy was arranged for suspect pancreatic neoplasm. In summary, we had reviewed several studies and concluded several steps to help differential AIP to pancreatic cancer. This may help reduce the unnecessary pancreatic resection in the future.
關鍵詞 Autoimmune pancreatitis type 1, autoimmune pancreatitis type 2, pancreatic tumor, IgG4 antibody, pancreatectomy
分類 Case Report

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