CAJ | 학술논문

自身免疫性胰腺炎（AIP）是慢性胰腺炎的一种特殊类型。尽管关于 AIP 的各种临床指南相继推行，但在临床上，AIP 与胰腺癌的鉴别仍十分困难。参考 AIP 的指南及最新的相关文献，总结了关于 AIP 与胰腺癌的临床表现、血清学改变、影像学改变及激素反应四个方面的鉴别诊断要点。通过综合分析上述鉴别要点，胰腺占位患者的正确诊断可以得以明确，一些 AIP 患者也可以避免不必要的开腹手术。
자신면역성이선염（AIP）시만성이선염적일충특수류형。진관관우 AIP 적각충림상지남상계추행，단재림상상，AIP 여이선암적감별잉십분곤난。삼고 AIP 적지남급최신적상관문헌，총결료관우 AIP 여이선암적림상표현、혈청학개변、영상학개변급격소반응사개방면적감별진단요점。통과종합분석상술감별요점，이선점위환자적정학진단가이득이명학，일사 AIP 환자야가이피면불필요적개복수술。
Autoimmune pancreatitis (AIP)is a special form of chronic pancreatitis.Although many clinical guidelines for AIP have been carried out,but clinically differentiating AIP from pancreatic cancer remains difficult.Based on some guidelines for AIP and latest relevant literature,this article summarizes the key points in differentiating AIP from pancreatic cancer in the aspects of clinical symptoms,serological changes,radiological changes,and steroid response.By analyzing the above key points,the accurate diagnosis of pancreatic tumor can be realized,and some patients with AIP will avoid unnecessary laparotomy.