title: [Two cases of localized autoimmune pancreatitis that relapsed after surgical treatment].
abstract: Since the revision of Clinical Diagnostic Criteria for Autoimmune Pancreatitis (AIP) 2006, many cases of localized AIP have been reported. Localized AIP is often difficult to preoperatively differentiate from pancreatic carcinoma. We present two cases of localized AIP that developing relapse after surgical treatment. Swollen hilar lymph nodes of lung was detected on CT in both two cases. Recently, AIP is thought to be the pancreatic manifestation of an IgG4 related systemic disease, which has been associated with many extrapancreatic lesions. Response to steroid treatment and the detection of extrapancreatic lesions may contribute to provide adequate diagnosis thereby avoiding unnecessary surgery.
authors.affiliation: Division of Gastroenterology, Department of Internal Medicine, Kobe University, School of Medicine. juninoue@med.kobe-u.ac.jp
authors.forename: Jun
authors.initials: J
authors.lastname: Inoue
authors.forename: Atsuhiro
authors.initials: A
authors.lastname: Masuda
authors.forename: Masaya
authors.initials: M
authors.lastname: Saito
authors.forename: Mitsuko
authors.initials: M
authors.lastname: Onoyama
authors.forename: Hideyuki
authors.initials: H
authors.lastname: Shiomi
authors.forename: Hirochika
authors.initials: H
authors.lastname: Toyama
authors.forename: Ryo
authors.initials: R
authors.lastname: Shinzeki
authors.forename: Ippei
authors.initials: I
authors.lastname: Matsumoto
authors.forename: Yoshitake
authors.initials: Y
authors.lastname: Hayashi
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Makino
authors.forename: Hidetoshi
authors.initials: H
authors.lastname: Tada
authors.forename: Hiromu
authors.initials: H
authors.lastname: Kutsumi
authors.forename: Yonson
authors.initials: Y
authors.lastname: Ku
authors.forename: Takeshi
authors.initials: T
authors.lastname: Azuma
mesh_terms: D000368:Aged; D001327:Autoimmune Diseases / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010195:Pancreatitis / Q000175:diagnosis / Q000601:surgery*; D012008:Recurrence