Table 1 Review of reported cases of isolated IgG4-associated cholangitis misdiagnosed as perihilar cholangiocarcinoma underwent surgical resections
Author/ Year | N | Sex | Age | Stricture location/Symptom | IgG4 (mg/dL) | Operation | Pathology |
|---|---|---|---|---|---|---|---|
Hamano (2005) [34] | 1 | M | 56 | Perihilar, CBD/ Jaundice | 1646 | Hepatic resection with pancreaticoduodenectomy | Lymphoplasmacytic infiltration IgG4-positive plasma cell infiltration |
Cheung (2008) [35] | 1 | F | 68 | Perihilar/ Jaundice | 2890 | Hepatic resection | Lymphoplasmacytic sclerosing cholangitis IgG4-positive plasma cells |
Erdogan (2008) [11] | 2 | NA | NA | NA/ Jaundice | NA | Hepatic resection | Lymphoplasmacytic infiltration Moderate IgG4-positive plasma cells |
Fujita (2010) [12] | 1 | M | 60 | Perihilar/ Jaundice | NA | Bile duct resection | Lymphoplasmacytic infiltration Diffuse IgG4-positive plasma cells |
Lytras (2012) [13] | 1 | NA | NA | NA/ NA | Negative | Hepatic resection | Class A (HISORt criteria) |
Nguyen-tat (2012) [36] | 1 | M | 79 | Perihilar/ Jaundice | 40 | Hepatic resection with bile duct resection | Lymphoplasmacytic infiltration IgG4-positive plasma cells > 50 cells/HPF |
Matusubayashi (2014) [37] | 1 | M | 70 | Perihilar/ Jaundice | 1.10 | Hepatic resection with bile duct resection | Lymphoplasmacytic infiltration IgG4-positive cells 10 cells/HPF |
Zaydfudim (2015) [38] | 2 | M M | 68 79 | Perihilar/ abdominal pain Perihilar/ abnormal LFT | 61.3 39.4 | Hepatic resection with bile duct resection Hepatic resection with bile duct resection | Lymphoplasmacytic infiltration IgG4-positive plasma cells > 40% IgG4-positive plasma cells >50 cells/HPF |
Miki (2015) [39] | 1 | M | 69 | Perihilar/ Jaundice | 381 | Bile duct resection | Lymphocyte and plasma cell infiltration IgG4-positive plasma cells > 50 cells/HPF |
Ignjatovic (2015) [40] | 1 | M | 60 | Perihilar, CBD/ Jaundice, abdominal pain | 80 | Bile duct resection | Dense fibro-inflammatory infiltration with lymphoid cells IgG4-positive plasmacytoid cells |
Lin (2015) [41] | 4 | M M M M | 84 70 72 61 | Perihilar/ Jaundice | NA | Bile duct resection | Lymphoplasmacytic infiltration IgG4-positive cells >50 cells/HPF |
Present study | 1 | M | 56 | Perihilar/ Jaundice | >7230 | Hepatic resection with bile duct resection | Lymphoid and plasma cell infiltration IgG4-positive plasma cells 80 cells/HPF |