Pancreatic Head Mass: A Rare Manifestation of Granulomatosis With Polyangiitis
| Autor: | Alison Schneider, Pablo A. Bejarano, Adalberto Gonzalez, Ronnie Pimentel, Michael Castillo, Asad Ur Rahman, Jeevna Kaur, Vaibhav Wadhwa |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Pathology
medicine.medical_specialty medicine.diagnostic_test business.industry Magnetic resonance imaging Case Report General Medicine Lung biopsy medicine.disease Pancreatic head 03 medical and health sciences 0302 clinical medicine Autoimmune Process 030220 oncology & carcinogenesis Pancreatic cancer Pancreatic mass Medicine 030211 gastroenterology & hepatology business Granulomatosis with polyangiitis Pancreas Anti-neutrophil cytoplasmic antibody |
| Zdroj: | ACG Case Reports Journal |
| ISSN: | 2326-3253 |
| Popis: | Granulomatosis with polyangiitis may rarely present as an inflammatory pancreatic mass and mimic pancreatic cancer. We report a 73-year-old man who presented with fever and weight loss. Computed tomography imaging demonstrated a mass in the pancreatic head along with multiple cavitary pulmonary nodules. Our differential included metastatic pancreatic cancer vs an autoimmune process. Positive cytoplasmic antineutrophil cytoplasmic antibodies coupled with the lung biopsy findings established the diagnosis of granulomatosis with polyangiitis, a very rare cause of pancreatic masses. After completion of immunosuppressive therapy, magnetic resonance imaging demonstrated no evidence of a pancreatic mass. More studies are required to establish the management of these masses. |
| Databáze: | OpenAIRE |
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