Pancreatic Sarcoidosis Mimicking a Malignant Tumour

Ohana, Gil; Melki, Yedidia; Rosenblat, Yevgenia; Kravarušić, Dragan; Weil, Ruben

doi:10.1080/110241502321116569

Cited by 3 publications

(1 citation statement)

References 8 publications

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“…The clinical and radiological findings of pancreatic sarcoidosis may sometimes resemble those of malignancy, and the differentiation of pancreatic sarcoidosis from a malignant pancreatic tumor is sometimes difficult. There are cases that require surgery to diagnose the underlying condition correctly (17)(18)(19)(20). Only a few reports have described cases where pancreatic sarcoidosis was diagnosed using EUS-FNA, and all of these cases consisted of patients with systemic sarcoidosis that affected the pancreas and other organs (14,15,21).…”

Section: Discussionmentioning

confidence: 99%

Isolated Pancreatic Sarcoidosis Diagnosed by Endoscopic Ultrasound-guided Fine-needle Aspiration

et al. 2020

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We herein report a 52-year-old man with multiple hypoechoic lesions in the body and tail of the pancreas detected during a screening ultrasound. Computed tomography (CT) showed no lesions other than those in the pancreas and peripheral lymph nodes. Contrast-enhanced CT identified hypovascular tumors in the pancreas. Endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) demonstrated partial fibrosis and noncaseating granulomas with Langhans giant cells. To our knowledge, this is the first report of isolated pancreatic sarcoidosis diagnosed by EUS-FNA. Although pancreatic sarcoidosis is very rare, clinicians should be aware of this possibility in patients presenting with multiple hypovascular pancreatic tumors.

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Section: Discussionmentioning

confidence: 99%

Isolated Pancreatic Sarcoidosis Diagnosed by Endoscopic Ultrasound-guided Fine-needle Aspiration

et al. 2020

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Pancreatic Sarcoidosis: Unusual Presentation Resembling a Periampullary Malignancy

et al. 2006

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Sarcoidosis with Pancreatic Mass, Endobronchial Nodules, and Miliary Opacities in the Lung

et al. 2017

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Abstract:Sarcoidosis affects multiple organs and rarely has unusual manifestations. A 78-year-old woman was referred to our hospital for coughing symptoms. A chest computed tomography (CT) scan revealed bilateral diffuse miliary patterns and right pleural effusion. Bronchoscopy showed multiple nodules in the carina and the bronchus intermedius. A CT scan of her abdomen revealed hypovascular lesions involving the pancreatic head and body. A transbronchial lung biopsy, bronchial mucosal biopsy, and endoscopic ultrasound-guided fine-needle aspiration of the pancreatic mass demonstrated non-caseating granulomas. We diagnosed the patient with sarcoidosis. She received no treatment for sarcoidosis and has been followed up for one year, during which no pulmonary disease progression had been observed and the pancreatic masses partially regressed.

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Pancreatic Sarcoidosis Mimicking a Malignant Tumour

Cited by 3 publications

References 8 publications

Isolated Pancreatic Sarcoidosis Diagnosed by Endoscopic Ultrasound-guided Fine-needle Aspiration

Isolated Pancreatic Sarcoidosis Diagnosed by Endoscopic Ultrasound-guided Fine-needle Aspiration

Pancreatic Sarcoidosis: Unusual Presentation Resembling a Periampullary Malignancy

Sarcoidosis with Pancreatic Mass, Endobronchial Nodules, and Miliary Opacities in the Lung

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