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

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...

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Detalles Bibliográficos
Autores principales: Takeda, Soichi, Kawaratani, Hideto, Takami, Masayoshi, Inoue, Yuta, Matsuda, Takuya, Kubo, Takuya, Fujinaga, Masayuki, Ozutsumi, Takahiro, Furukawa, Masanori, Kitagawa, Kou, Sawada, Yasuhiko, Uejima, Masakazu, Mitoro, Akira, Yamao, Junichi, Yoshiji, Hitoshi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7332622/
https://www.ncbi.nlm.nih.gov/pubmed/32161217
http://dx.doi.org/10.2169/internalmedicine.4034-19
Descripción
Sumario: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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