Abstract

A patient with Sjogren's syndrome is reported. A 52-year-old man admitted to our hospital because of a mass in the upper abdomen with disseminated tumors on the face. The diagnosis for this syndrome was established by biopsy of the salivary gland which revealed cell infiltration composed of lymphocytes and plasma cells, abnormal sialogram, diminished lacrimation, and hyperglobulinemia. Because of the location, size, and shape of the mass and its disappearance with concomitant improvement of the stenotic lesions of the common bile duct and the main pancreatic duct following steroid therapy, we concluded that this was a pancreatic mass and attributed the underlying abnormality as an inflammatory swelling of the pancreas without surgical or histological proof to document this.

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