IgG4-positive plasma cells can be elevated in malignant hepato-biliary and pancreatic diseases and do not allow discrimination between neoplastic and autoimmune disease
Y Resheq, A Quaas, D von Renteln, D von Renteln, C Schramm, AW Lohse, S Lüth · Zeitschrift für Gastroenterologie · 2012 · Heft 01
Bibliografische Angaben
Zusammenfassung
Aims: Diagnosis of IgG4 associated cholangitis (IAC) and autoimmune pancreatitis (AIP) is challenging since both autoimmune diseases frequently mimic the clinical and radiological profile of hilar cholangiocarcinoma and pancreatic adenocarcinoma, respectively. High levels of IgG4-positive plasma cells on histology have been described as specific diagnostic parameter of IAC and AIP. This study aims to evaluate this specificity by analysing the frequency of IgG4-positive plasma cells in malignant diseases of the pancreatico-biliary tract. Methods: Sixty-one patients with malignant tumours of the hepatobiliary trac…