Gastric linitis plastica with autoimmune pancreatitis diagnosed by an endoscopic ultrasonography-guided fine-needle biopsy: A case report

Table 1 Laboratory data (reference range, units)

Laboratory data		(Reference range, units)
Hematology
WBC	5290	(3300-8600, /μL)
Neu	61.5	(40.0-70.0, %)
Ly	29.1	(16.5-49.5, %)
Mono	6.0	(2.0-10.0, %)
Eos	2.4	(0.0-8.5, %)
Bas	0.9	(0.0-2.5, %)
RBC	449	(435-555, × 104/μL)
Hb	14.1	(13.7-16.8, g/dL)
Ht	43.0	(40.7-50.1, %)
PLT	14.8	(15.8-34.8, × 104/μL)
Coagulation
APTT	32.1	(26.9-38.1, sec)
PT	82.0	(73-118, %)
PT-INR	1.1	(< 2.99)
D-dimer	2.2	(0.0-0.9, μg/mL)
Biochemistry
TP	7.4	(6.6-8.1, g/dL)
Alb	3.9	(4.1-5.1, g/dL)
T.Bil	0.67	(0.40-1.50, mg/dL)
AST	22	(13-30, U/L)
ALT	19	(10-42, U/L)
γ-GTP	15	(38-75, U/L)
ALP	91	(38-113, U/L)
AMY	95	(44-132, U/L)
LIPA	39	(13-55, U/L)
BUN	14.1	(8.0-20.0, mg/dL)
CRE	1.06	(0.65-1.07, mg/dL)
Na	137	(138-145, mmol/L)
K	4.4	(3.6-4.8, mmol/L)
Cl	105	(101-108, mmol/L)
Ca	9.4	(8.8-10.1, mg/dL)
CRP	0.05	(< 0.15, mg/dL)
Tumor marker
CEA	3.2	(< 5.00, ng/mL)
CA19-9	2556	(0.0-35.4, U/mL)
Immunoglobulin
IgG4	280.5	(4.5-117.0, mg/dL)

CA19-9: Carbohydrate antigen 19-9; IgG4: Immunoglobulin-G4.

Table 2 Previous results of endoscopic ultrasonography-guided fine-needle biopsys for the gastric wall of gastric linitis plastica with negative endoscopic biopsy findings

Ref.	Country	Number of patients	Gastric wall thickness per mm, median (range)	Type of FNB needle, gauge	Number of needle passes	Positive rates, n (%)	Adverse event with FNB
Ye et al[15], 2018	China	24	15.7 (7.4-22.0)	19	1-3	13 (54.2)	None
Liu et al[16], 2019	China	9	12.9 (8.30-22.70)	19, 22, 25	4-8	6 (66.7)	None
Takada et al[17], 2021	Japan	13	20 (15.0-25.0)	22	2	10 (76.9)	None
Takahashi et al[13], 2021	Japan	2	15.7 (9.3-22.0)	22	3-5	2 (100.0)	None

FNB: Fine-needle biopsy.