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  • 1 Sebészeti Osztály, Uzsoki Utcai Kórház, 1145, Budapest, Uzsoki u. 29.
  • 2 Patológiai Osztály, Uzsoki Utcai Kórház, Budapest
  • 3 Gasztroenterológiai Osztály, Uzsoki Utcai Kórház, Budapest
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Absztrakt

Az autoimmun pancreatitis (AIP) egy ritka és pathomechanismusát tekintve ismeretlen betegség, amely az IgG4-asszociált betegségek családjába tartozik. Jól kezelhető steroiddal, bár a relapsus aránya a 20–30%-ot is elérheti. Komoly differenciáldiagnosztikai problémát jelenthet azonban az elkülönítése a jóval gyakoribb pancreasdaganattól. Az esetek mintegy 20%-ában csak a műtét utáni szövettani vizsgálat során derül ki az AIP. A számtalan vizsgálóeljárás mindegyike hozzátesz valamit a definitív diagnózishoz, kérdés, hogy elkerülhetőek-e a felesleges resectiók. Eset­ismertetésünk segítségével kívánjuk bemutatni az AIP és a pancreasdaganat differenciáldiagnosztikai lehetőségeit, illetve a kérdés irodalmi hátterét. Konklúzióként megfogalmazhatjuk, hogy focalis pancreaselváltozás esetén gondolnunk kell az AIP lehetőségére is.

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