Evidence map›Paper›PMID 41601580›Full record

ArticleRespirology case reports2026

A Case of IgG4-Related Disease That Mimics an Anterior Mediastinal Malignant Tumour.

Noriaki Nishimura, Yusuke Nakamura, Nana Yazawa, Yuto Goto, Tomonari Suzuki, Takashi Inoue, Anna Hasegawa, Kei Ikeda, Akihiro Takemasa, Masayuki Chida and 3 more

Abstract read
In one paragraph

Article in Respirology case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Noriaki NishimuraDepartment of Pulmonary Medicine and Clinical Immunology Dokkyo Medical University School of Medicine Mibu Tochigi Japan.
Yusuke NakamuraDepartment of Pulmonary Medicine and Clinical Immunology Dokkyo Medical University School of Medicine Mibu Tochigi Japan.ORCID https://orcid.org/0000-0001-5288-5750
Nana YazawaDepartment of Pulmonary Medicine and Clinical Immunology Dokkyo Medical University School of Medicine Mibu Tochigi Japan.
Yuto GotoDepartment of Pulmonary Medicine and Clinical Immunology Dokkyo Medical University School of Medicine Mibu Tochigi Japan.
Tomonari SuzukiDepartment of Pulmonary Medicine and Clinical Immunology Dokkyo Medical University School of Medicine Mibu Tochigi Japan.
Takashi InoueDepartment of General Thoracic Surgery Dokkyo Medical University, School of Medicine Mibu Tochigi Japan.
Anna HasegawaDepartment of Rheumatology Dokkyo Medical University School of Medicine Mibu Tochigi Japan.
Kei IkedaDepartment of Rheumatology Dokkyo Medical University School of Medicine Mibu Tochigi Japan.ORCID https://orcid.org/0000-0003-0574-9611
Akihiro TakemasaDepartment of Pulmonary Medicine and Clinical Immunology Dokkyo Medical University School of Medicine Mibu Tochigi Japan.
Masayuki ChidaDepartment of General Thoracic Surgery Dokkyo Medical University, School of Medicine Mibu Tochigi Japan.
Kazuyuki IshidaDepartment of Diagnostic Pathology Dokkyo Medical University School of Medicine Mibu Tochigi Japan.ORCID https://orcid.org/0000-0002-2804-4588
Yasuo ShimizuDepartment of Pulmonary Medicine and Clinical Immunology Dokkyo Medical University School of Medicine Mibu Tochigi Japan.
Seiji NihoDepartment of Pulmonary Medicine and Clinical Immunology Dokkyo Medical University School of Medicine Mibu Tochigi Japan.ORCID https://orcid.org/0000-0001-9480-5923

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

IgG4-related disease (IgG4-RD) is a fibroinflammatory disease characterised by elevated serum IgG4 levels and marked infiltration of IgG4-positive plasma cells. Here, we present the case of a 49-year-old man who presented with dysphagia and hoarseness caused by an anterior mediastinal mass. As the fluorodeoxyglucose positron emission tomography (FDG-PET) SUVmax was 6.68 (early and delayed), malignancy was initially suspected. Serum IgG4 levels were slightly elevated at 148 mg/dL. Surgical biopsy revealed dense lymphoplasmacytic infiltration with storiform fibrosis and numerous IgG4-positive plasma cells, fulfilling the diagnostic criteria for IgG4-RD. Treatment with high-dose prednisolone (60 mg/day) rapidly resolved symptoms and markedly reduced the mass within 6 months. This case highlights the importance of considering IgG4-RD in the differential diagnosis of mediastinal tumours, even when FDG-PET shows abnormal accumulation and serum IgG4 levels are not particularly high.

Indexed as

anterior mediastinumIgG4‐related diseasemediastinal tumourperiaortitispositron emission tomography

Identifiers

PMID41601580
PMCPMC12834463

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.