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- Junichi Kaneko, Hiroyuki Matsubayashi, Tatsunori Satoh, Junya Sato, Masaki Takinami, Hirotoshi Ishiwatari, Katsuhiko Uesaka, Masato Abe, Keiko Sasaki, and Hiroyuki Ono.
- Division of Endoscopy, Shizuoka Cancer Center, Japan.
- Intern. Med. 2020 Jan 15; 59 (2): 199-204.
AbstractA small proportion of intraductal papillary mucinous neoplasms (IPMNs) are accompanied by type 1 autoimmune pancreatitis (AIP); however their clinical courses and image characteristics have not been fully reported. A 65-year-old woman was referred to our hospital for the examination of a pancreatic head cyst that had shown exacerbation for two years. Several images demonstrated a multilocular cyst with a symmetrically thickened, enhanced, cyst wall. Cancerization of IPMN was suspected, and pancreatoduodenectomy was performed. The resected specimens showed a multilocular cyst with solid areas. The solid areas demonstrated pathological findings that corresponded with type 1 AIP. Papillary epithelia suggestive of IPMN was recognized in some parts of the cystic wall.
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