Imaging and pathological features of gastric lesion of immunoglobulin G4-related disease: A case report and review of the recent literature

We describe a 67-year-old man with immunoglobulin G4-related disease (IgG4-RD) presenting with optic neuropathy, dacryoadenitis, periaortitis, retroperitoneal fibrosis, and a gastric mass-like lesion. A mass-like lesion measuring 52 × 40 mm in the antrum of the stomach was found incidentally through...

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Bibliographic Details
Published in:Modern rheumatology 2019-03, Vol.29 (2), p.377-382
Main Authors: Inoue, Dai, Yoneda, Norihide, Yoshida, Kotaro, Nuka, Hiromi, Kinoshita, Jun, Fushida, Sachio, Toshima, Fumihito, Minami, Tetsuya, Takahira, Masayuki, Hamaoka, Shoko, Ikeda, Hiroko, Gabata, Toshifumi, Kawano, Mitsuhiro
Format: Article
Language:English
Subjects:
Aged
Diagnosis, Differential
Endoscopy, Gastrointestinal - methods
Endosonography - methods
Gastrointestinal lesions
Humans
IgG4
Imaging examinations
Immunoglobulin G - analysis
Immunoglobulin G4-Related Disease - diagnosis
Immunoglobulin G4-Related Disease - immunology
Immunologic Tests
Incidental Findings
Magnetic Resonance Imaging - methods
Male
Retroperitoneal Fibrosis
Stomach Neoplasms - diagnosis
Stomach Neoplasms - pathology
Tomography, X-Ray Computed - methods
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Summary:We describe a 67-year-old man with immunoglobulin G4-related disease (IgG4-RD) presenting with optic neuropathy, dacryoadenitis, periaortitis, retroperitoneal fibrosis, and a gastric mass-like lesion. A mass-like lesion measuring 52 × 40 mm in the antrum of the stomach was found incidentally through whole-body screening for other organ involvement of IgG4-RD using contrast-enhanced computed tomography (CT). Histology of the stomach revealed that the lesion was also IgG4-related and was located in the submucosal layer extending to the subserosal region. This case suggests that the stomach can also be a site of involvement of IgG4-RD.
ISSN:1439-7595
1439-7609
DOI:10.1080/14397595.2016.1209819