Endoscopic ultrasound-guided fine needle aspiration in the differentiation of type 1 and type 2 autoimmune pancreatitis

doi:10.3748/wjg.v18.i29.3883

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Aug 7, 2012 (publication date) through Apr 25, 2024

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World Journal of Gastroenterology

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1007-9327

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Gastroenterol. Aug 7, 2012; 18(29): 3883-3888
Published online Aug 7, 2012. doi: 10.3748/wjg.v18.i29.3883

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Figure 1 Comparison of endoscopic ultrasound-guided fine needle aspiration with International Consensus Diagnostic Criteria. EUS-FNA: Endoscopic ultra-sound-guided fine needle aspiration; LPSP: Lymphoplasmacytic sclerosing pancreatitis; IDCP: Idiopathic duct-centric pancreatitis; OOI: Other organ involvement; AIP: Autoimmune pancreatitis; NOS: Not otherwise specified.

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Figure 2 Endoscopic ultrasound-guided fine needle aspiration specimen of "definitive type 1 autoimmune pancreatitis”. A, B: Hematoxylin and eosin staining of a resected pancreas specimen obtained by endoscopic ultra-sound-guided fine needle aspiration shows replacement of the acinar structure by lymphoplasmacytic infiltration and fibrosis; C: Numerous plasma cells show positive immunoreactivity for immunoglobulin G4.

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Figure 3 Endoscopic ultrasound-guided fine needle aspiration specimen of "probable type 2 autoimmune pancreatitis”. A, B: Hematoxylin and eosin staining of a resected pancreas specimen obtained by endoscopic ultra-sound-guided fine needle aspiration shows the infiltration of neutrophils in addition to lymphocyte infiltration and fibrosis; C: Immunostaining for immunoglobulin G4 is negative.

Citation: Ishikawa T, Itoh A, Kawashima H, Ohno E, Matsubara H, Itoh Y, Nakamura Y, Hiramatsu T, Nakamura M, Miyahara R, Ohmiya N, Goto H, Hirooka Y. Endoscopic ultrasound-guided fine needle aspiration in the differentiation of type 1 and type 2 autoimmune pancreatitis. World J Gastroenterol 2012; 18(29): 3883-3888
URL: https://www.wjgnet.com/1007-9327/full/v18/i29/3883.htm
DOI: https://dx.doi.org/10.3748/wjg.v18.i29.3883