Sclerosing Mesenteritis Mimicking IgG4-related Disease

Masahide Fukuda; Toru Miyake; Akiko Matsubara; Nobuyasu Ikai; Eri Tanaka; Tomo Namura; Yasuhiro Wada; Mai Noujima; Suzuko Moritani; Kazunari Murakami; Akira Andoh; Masaji Tani; Ryoji Kushima

doi:10.2169/internalmedicine.3221-19

CASE REPORTS

Sclerosing Mesenteritis Mimicking IgG4-related Disease

Masahide Fukuda, Toru Miyake, Akiko Matsubara, Nobuyasu Ikai, Eri Tanaka, Tomo Namura, Yasuhiro Wada, Mai Noujima, Suzuko Moritani, Kazunari Murakami, Akira Andoh, Masaji Tani, Ryoji Kushima

著者情報

Masahide Fukuda
Division of Diagnostic Pathology, Department of Clinical Laboratory Medicine, Shiga University of Medical Science Hospital, Japan
Department of Gastroenterology, Oita University, Faculty of Medicine, Japan
Toru Miyake
Department of Surgery, Shiga University of Medical Science, Japan
Akiko Matsubara
Division of Diagnostic Pathology, Department of Clinical Laboratory Medicine, Shiga University of Medical Science Hospital, Japan
Nobuyasu Ikai
Division of Diagnostic Pathology, Department of Clinical Laboratory Medicine, Shiga University of Medical Science Hospital, Japan
Eri Tanaka
Division of Diagnostic Pathology, Department of Clinical Laboratory Medicine, Shiga University of Medical Science Hospital, Japan
Tomo Namura
Division of Diagnostic Pathology, Department of Clinical Laboratory Medicine, Shiga University of Medical Science Hospital, Japan
Yasuhiro Wada
Division of Diagnostic Pathology, Department of Clinical Laboratory Medicine, Shiga University of Medical Science Hospital, Japan
Department of Gastroenterology, Oita University, Faculty of Medicine, Japan
Mai Noujima
Division of Diagnostic Pathology, Department of Clinical Laboratory Medicine, Shiga University of Medical Science Hospital, Japan
Suzuko Moritani
Division of Diagnostic Pathology, Department of Clinical Laboratory Medicine, Shiga University of Medical Science Hospital, Japan
Kazunari Murakami
Department of Gastroenterology, Oita University, Faculty of Medicine, Japan
Akira Andoh
Division of Gastrointestinal Endoscopy, Shiga University of Medical Science Hospital, Japan
Masaji Tani
Department of Surgery, Shiga University of Medical Science, Japan
Ryoji Kushima
Division of Diagnostic Pathology, Department of Clinical Laboratory Medicine, Shiga University of Medical Science Hospital, Japan

キーワード: sclerosing mesenteritis, panniculitis, IgG4-related disease

ジャーナルオープンアクセス

2020 年 59 巻 4 号 p. 513-518

DOI https://doi.org/10.2169/internalmedicine.3221-19

Browse “Advance online publication” version

詳細

抄録

A 72-year-old man was followed as an outpatient at our hospital for 6 years after surgery for small cell carcinoma of left adrenal gland origin. Follow-up abdominal computed tomography showed a 6-cm mass in the left lower mesentery. The patient underwent open laparotomy. The histological diagnosis was sclerosing mesenteritis. The previous specimens of the left adrenal mass were then re-examined with a microscope, and panniculitis was found around the small cell carcinoma. Both lesions were histologically similar to IgG4-related disease (RD), but they did not completely meet the diagnostic criteria of IgG4-RD clinically or histologically.

責任著者(Corresponding author)

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