Cargando…

Cervical Lymph Node Sarcoidosis Mimicking a Parathyroid Adenoma: A Clinical Case

We report a case of cervical lymph node sarcoidosis misdiagnosed as parathyroid adenoma. This is the second case described in the literature in which lymph node sarcoidosis was misdiagnosed as parathyroid adenoma on Tc-99m sestamibi (MIBI) scan, the first case localized in the neck. A 64-year-old wo...

Descripción completa

Detalles Bibliográficos
Autores principales: Calò, Pietro Giorgio, Pisano, Giuseppe, Tatti, Alberto, Loi, Giulia, Furcas, Silvia, Nicolosi, Angelo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Libertas Academica 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3825608/
https://www.ncbi.nlm.nih.gov/pubmed/24250238
http://dx.doi.org/10.4137/CCRep.S13026
_version_ 1782290819209756672
author Calò, Pietro Giorgio
Pisano, Giuseppe
Tatti, Alberto
Loi, Giulia
Furcas, Silvia
Nicolosi, Angelo
author_facet Calò, Pietro Giorgio
Pisano, Giuseppe
Tatti, Alberto
Loi, Giulia
Furcas, Silvia
Nicolosi, Angelo
author_sort Calò, Pietro Giorgio
collection PubMed
description We report a case of cervical lymph node sarcoidosis misdiagnosed as parathyroid adenoma. This is the second case described in the literature in which lymph node sarcoidosis was misdiagnosed as parathyroid adenoma on Tc-99m sestamibi (MIBI) scan, the first case localized in the neck. A 64-year-old woman presented with a hypercalcemia. Neck ultrasonography revealed a paratracheal hypoechoic mass of 15 mm with peripheral vascularization. MIBI scan and SPECT/CT identified a MIBI-positive area corresponding to the nodule detected by ultrasonography suggestive for a lower right parathyroid adenoma. A mass interpreted as the lower parathyroid was excised associated to a total thyroidectomy. Pathologic examination revealed a granulomatous lymph node consistent with active sarcoidosis. Sarcoidosis should be suspected as a cause of unexplained hypercalcemia and the differential diagnosis of hypercalcemia, even in presence of MIBI uptake, must include sarcoidosis localized in an isolated cervical lymph node.
format Online
Article
Text
id pubmed-3825608
institution National Center for Biotechnology Information
language English
publishDate 2013
publisher Libertas Academica
record_format MEDLINE/PubMed
spelling pubmed-38256082013-11-18 Cervical Lymph Node Sarcoidosis Mimicking a Parathyroid Adenoma: A Clinical Case Calò, Pietro Giorgio Pisano, Giuseppe Tatti, Alberto Loi, Giulia Furcas, Silvia Nicolosi, Angelo Clin Med Insights Case Rep Case Reports We report a case of cervical lymph node sarcoidosis misdiagnosed as parathyroid adenoma. This is the second case described in the literature in which lymph node sarcoidosis was misdiagnosed as parathyroid adenoma on Tc-99m sestamibi (MIBI) scan, the first case localized in the neck. A 64-year-old woman presented with a hypercalcemia. Neck ultrasonography revealed a paratracheal hypoechoic mass of 15 mm with peripheral vascularization. MIBI scan and SPECT/CT identified a MIBI-positive area corresponding to the nodule detected by ultrasonography suggestive for a lower right parathyroid adenoma. A mass interpreted as the lower parathyroid was excised associated to a total thyroidectomy. Pathologic examination revealed a granulomatous lymph node consistent with active sarcoidosis. Sarcoidosis should be suspected as a cause of unexplained hypercalcemia and the differential diagnosis of hypercalcemia, even in presence of MIBI uptake, must include sarcoidosis localized in an isolated cervical lymph node. Libertas Academica 2013-10-16 /pmc/articles/PMC3825608/ /pubmed/24250238 http://dx.doi.org/10.4137/CCRep.S13026 Text en © 2013 the author(s), publisher and licensee Libertas Academica Ltd. This is an open access article published under the Creative Commons CC-BY-NC 3.0 license.
spellingShingle Case Reports
Calò, Pietro Giorgio
Pisano, Giuseppe
Tatti, Alberto
Loi, Giulia
Furcas, Silvia
Nicolosi, Angelo
Cervical Lymph Node Sarcoidosis Mimicking a Parathyroid Adenoma: A Clinical Case
title Cervical Lymph Node Sarcoidosis Mimicking a Parathyroid Adenoma: A Clinical Case
title_full Cervical Lymph Node Sarcoidosis Mimicking a Parathyroid Adenoma: A Clinical Case
title_fullStr Cervical Lymph Node Sarcoidosis Mimicking a Parathyroid Adenoma: A Clinical Case
title_full_unstemmed Cervical Lymph Node Sarcoidosis Mimicking a Parathyroid Adenoma: A Clinical Case
title_short Cervical Lymph Node Sarcoidosis Mimicking a Parathyroid Adenoma: A Clinical Case
title_sort cervical lymph node sarcoidosis mimicking a parathyroid adenoma: a clinical case
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3825608/
https://www.ncbi.nlm.nih.gov/pubmed/24250238
http://dx.doi.org/10.4137/CCRep.S13026
work_keys_str_mv AT calopietrogiorgio cervicallymphnodesarcoidosismimickingaparathyroidadenomaaclinicalcase
AT pisanogiuseppe cervicallymphnodesarcoidosismimickingaparathyroidadenomaaclinicalcase
AT tattialberto cervicallymphnodesarcoidosismimickingaparathyroidadenomaaclinicalcase
AT loigiulia cervicallymphnodesarcoidosismimickingaparathyroidadenomaaclinicalcase
AT furcassilvia cervicallymphnodesarcoidosismimickingaparathyroidadenomaaclinicalcase
AT nicolosiangelo cervicallymphnodesarcoidosismimickingaparathyroidadenomaaclinicalcase