Localized intrahepatic IgG4-related sclerosing cholangitis (IgG4-SC) as an additional type of IgG4-SC: a systematic analysis of 12 cases

doi:10.1080/00365521.2018.1424233

科研成果详情

题名	Localized intrahepatic IgG4-related sclerosing cholangitis (IgG4-SC) as an additional type of IgG4-SC: a systematic analysis of 12 cases
作者	Mo, Zhichao1; Ramen, Kuvaneshan 1; Shan, Yunfeng1; Zhou, Mengtao1; Zheng, Xiangwu2; Wu, Xiuling3; Yu, Zhengping1; Ji, Xiaoke 1; Zhang, Qiyu1; Zeng, Qiqiang 1
发表日期	2018-12-31
发表期刊	SCANDINAVIAN JOURNAL OF GASTROENTEROLOGY 影响因子和分区
语种	英语
原始文献类型	Article
关键词	IgG4-related sclerosing cholangitis intrahepatic classification
其他关键词	IMMUNOGLOBULIN G4-ASSOCIATED CHOLANGITIS ; HEPATIC INFLAMMATORY PSEUDOTUMOR ; IGG4-ASSOCIATED CHOLANGITIS ; LIVER-BIOPSY ; DISEASE ; CHOLANGIOCARCINOMA ; PANCREATITIS ; G4 ; CHOLANGIOGRAPHY ; CLASSIFICATION
摘要	Objectives: IgG4-related sclerosing cholangitis (IgG4-SC), a recently defined disease entity, has been classified into four types based on the stricture regions revealed by cholangiography. However, localized intrahepatic IgG4-SC is not included into the classification. This study aimed to analyze and characterize localized intrahepatic IgG4-SC and justify the inclusion of this type into the classification.Methods: PubMed and Embase were searched for studies published from March 2001 to June 2017 reporting localized intrahepatic IgG4-SC. Data were obtained and analyzed from the included articles.Results: Twelve cases of localized intrahepatic IgG4-SC were included. All patients were adults with the median age of 73 years (range 46-78), and had a male preponderance (88.9%). The most common clinical presentation was obstructive jaundice (50%), abdominal pain (25%) and absence of symptoms (25%). On imaging and macroscopically, localized intrahepatic IgG4-SC presented with three subtypes, i.e., mass-forming (n=6, 50%), stricture (n=5, 41.7%) and periductal infiltrating (n=1, 8.3%) subtypes. Among the eight cases with diagnoses reported, six patients were misdiagnosed as intrahepatic cholangiocarcinoma; one was diagnosed as hepatic mass and one as IgG4-SC before biopsy or operation. Information on treatment was available on 10 cases; eight underwent surgical resection, one received steroid treatment alone and one underwent endoscopic biliary drainage. No relapse was noted in patients with surgical resection during a period of followed up.Conclusions: The localized intrahepatic IgG4-SC presents with mass-forming, stricture and periductal infiltrating subtypes, and should be recognized as an additional type of IgG4-SC according to the cholangiographic classification or anatomic site.
资助项目	Zhejiang Extremely Key Subject of Surgery; Key Laboratory of Diagnosis and Treatment of Severe Hepato- Pancreatic Diseases of Zhejiang Province
出版者	TAYLOR & FRANCIS LTD
出版地	ABINGDON
ISSN	0036-5521
EISSN	1502-7708
卷号	53 期号:3 页码:312-318
DOI	10.1080/00365521.2018.1424233
页数	7
WOS类目	Gastroenterology & Hepatology
WOS研究方向	Gastroenterology & Hepatology
WOS记录号	WOS:000426948600012
收录类别	SCIE ; SCOPUS ; PUBMED
URL	查看原文
PubMed ID	29313399
SCOPUSEID	2-s2.0-85041132584
通讯作者地址	[Zeng, Qiqiang]Department of Hepatobiliary Surgery,The First Affiliated Hospital,Wenzhou Medical University,1 Shangcai Street,Nanbaixiang Town, Wenzhou,325000,China
Scopus学科分类	Gastroenterology
引用统计	被引频次：2[WOS] [WOS记录] [WOS相关记录]
文献类型	期刊论文
条目标识符	https://kms.wmu.edu.cn/handle/3ETUA0LF/14004
专题	附属第一医院第一临床医学院（信息与工程学院）、附属第一医院_影像医学与核医学_放射科
通讯作者	Zeng, Qiqiang
作者单位	1.Department of Hepatobiliary Surgery,The First Affiliated Hospital,Wenzhou Medical University,Wenzhou,China; 2.Radiological Department,The First Affiliated Hospital,Wenzhou Medical University,Wenzhou,China; 3.Department of Pathology,The First Affiliated Hospital,Wenzhou Medical University,Wenzhou,China
第一作者单位	附属第一医院
通讯作者单位	附属第一医院
第一作者的第一单位	附属第一医院
推荐引用方式 GB/T 7714	Mo, Zhichao,Ramen, Kuvaneshan,Shan, Yunfeng,et al. Localized intrahepatic IgG4-related sclerosing cholangitis (IgG4-SC) as an additional type of IgG4-SC: a systematic analysis of 12 cases[J]. SCANDINAVIAN JOURNAL OF GASTROENTEROLOGY,2018,53(3):312-318.
APA	Mo, Zhichao., Ramen, Kuvaneshan., Shan, Yunfeng., Zhou, Mengtao., Zheng, Xiangwu., ... & Zeng, Qiqiang. (2018). Localized intrahepatic IgG4-related sclerosing cholangitis (IgG4-SC) as an additional type of IgG4-SC: a systematic analysis of 12 cases. SCANDINAVIAN JOURNAL OF GASTROENTEROLOGY, 53(3), 312-318.
MLA	Mo, Zhichao,et al."Localized intrahepatic IgG4-related sclerosing cholangitis (IgG4-SC) as an additional type of IgG4-SC: a systematic analysis of 12 cases".SCANDINAVIAN JOURNAL OF GASTROENTEROLOGY 53.3(2018):312-318.