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IgG4-related disease: The role of the surgeon through a report of a case

Publication ,  Journal Article
Mantonakis, EI; Moris, DN; Diamantis, DF; Pazaiti, AM; Papalampros, AE
Published in: West Indian Medical Journal
January 1, 2017

We present a patient with the symptomatic pancreatic disease. Extensive preoperative workup could not reveal the diagnosis beyond doubt, so Whipple's resection was performed, in order to exclude pancreatic adenocarcinoma. Since the difference diagnosis between autoimmune pancreatitis and pancreatic cancer cannot be made based only on clinical findings, serological and imaging examinations and biopsy is not always feasible, many patients have to undergo surgery. Autoimmune pancreatitis (AIP) is the most common manifestation of a newly recognized entity, IgG4-related systemic disease, affecting many organs and sites. The second most common manifestation, which patient, also presented with salivary gland enlargement, also known as Kuttner's tumour, and has histopathologic findings common with autoimmune pancreatitis. The IgG4-related systemic disease can be effectively treated with steroids, so accurate diagnosis, even if is sometimes difficult, can help prevent unnecessary surgery. On the other hand, despite the fact that this entity is not primarily managed by surgery, surgery is often employed for a diagnostic and management purposes.

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Published In

West Indian Medical Journal

DOI

ISSN

0043-3144

Publication Date

January 1, 2017

Volume

66

Issue

1

Start / End Page

173 / 177

Related Subject Headings

  • General & Internal Medicine
  • 42 Health sciences
  • 32 Biomedical and clinical sciences
  • 11 Medical and Health Sciences
 

Citation

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Mantonakis, E. I., Moris, D. N., Diamantis, D. F., Pazaiti, A. M., & Papalampros, A. E. (2017). IgG4-related disease: The role of the surgeon through a report of a case. West Indian Medical Journal, 66(1), 173–177. https://doi.org/10.7727/wimj.2014.153
Mantonakis, E. I., D. N. Moris, D. F. Diamantis, A. M. Pazaiti, and A. E. Papalampros. “IgG4-related disease: The role of the surgeon through a report of a case.” West Indian Medical Journal 66, no. 1 (January 1, 2017): 173–77. https://doi.org/10.7727/wimj.2014.153.
Mantonakis EI, Moris DN, Diamantis DF, Pazaiti AM, Papalampros AE. IgG4-related disease: The role of the surgeon through a report of a case. West Indian Medical Journal. 2017 Jan 1;66(1):173–7.
Mantonakis, E. I., et al. “IgG4-related disease: The role of the surgeon through a report of a case.” West Indian Medical Journal, vol. 66, no. 1, Jan. 2017, pp. 173–77. Scopus, doi:10.7727/wimj.2014.153.
Mantonakis EI, Moris DN, Diamantis DF, Pazaiti AM, Papalampros AE. IgG4-related disease: The role of the surgeon through a report of a case. West Indian Medical Journal. 2017 Jan 1;66(1):173–177.

Published In

West Indian Medical Journal

DOI

ISSN

0043-3144

Publication Date

January 1, 2017

Volume

66

Issue

1

Start / End Page

173 / 177

Related Subject Headings

  • General & Internal Medicine
  • 42 Health sciences
  • 32 Biomedical and clinical sciences
  • 11 Medical and Health Sciences