Haruka Miyazaki, Kohei Kuroda, Masatoshi Fujii, Daisuke Shirasaka, Yukiko Era, Kazunori Tsuda, Sanae Tanaka, Kae Nagao, Yoshihiko Kadowaki, Takeshi Okino
In the course of treatment for myasthenia gravis, enlargement of a cystic mass in the liver with peripheral bile duct dilation, diffuse pancreatic enlargement, and serum IgG4 level elevation was identified in a 65-year-old man. Following the diagnosis of autoimmune pancreatitis, a left hepatectomy was performed because of suspected malignancy of the cystic lesion. Analysis of the resected specimen revealed the cystic lesion to be a dilated bile duct. Intraductal papillary tumor comprising fibrovascular stalks covered by neoplastic epithelium was identified in the lesion...
2019: Nihon Shokakibyo Gakkai Zasshi, the Japanese Journal of Gastro-enterology