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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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
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author 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
author_facet 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
author_sort Takeda, Soichi
collection PubMed
description 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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spelling pubmed-73326222020-08-03 Isolated Pancreatic Sarcoidosis Diagnosed by Endoscopic Ultrasound-guided Fine-needle Aspiration 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 Intern Med Case Report 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. The Japanese Society of Internal Medicine 2020-03-12 2020-06-01 /pmc/articles/PMC7332622/ /pubmed/32161217 http://dx.doi.org/10.2169/internalmedicine.4034-19 Text en Copyright © 2020 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
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
Isolated Pancreatic Sarcoidosis Diagnosed by Endoscopic Ultrasound-guided Fine-needle Aspiration
title Isolated Pancreatic Sarcoidosis Diagnosed by Endoscopic Ultrasound-guided Fine-needle Aspiration
title_full Isolated Pancreatic Sarcoidosis Diagnosed by Endoscopic Ultrasound-guided Fine-needle Aspiration
title_fullStr Isolated Pancreatic Sarcoidosis Diagnosed by Endoscopic Ultrasound-guided Fine-needle Aspiration
title_full_unstemmed Isolated Pancreatic Sarcoidosis Diagnosed by Endoscopic Ultrasound-guided Fine-needle Aspiration
title_short Isolated Pancreatic Sarcoidosis Diagnosed by Endoscopic Ultrasound-guided Fine-needle Aspiration
title_sort isolated pancreatic sarcoidosis diagnosed by endoscopic ultrasound-guided fine-needle aspiration
topic Case Report
url 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
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