“…1 It was found that downregulation of Ro60 inhibited tumorigenesis in vivo, as well as proliferation, migration, and invasion of pancreatic ductal adenocarcinoma. 1 We describe a patient with pancreaticobiliary ampullary adenocarcinoma who 1 year before diagnosis was evaluated for autoimmune disease. Despite every other marker of autoimmunity being negative, the anti-Ro60 marker was extremely elevated at 564.9 chemiluminescent units.…”