Isolated Pancreatic Sarcoidosis Diagnosed by Endoscopic Ultrasound-guided Fine-needle Aspiration
| Autor: | Takahiro Ozutsumi, Masakazu Uejima, Soichi Takeda, Masanori Furukawa, Hitoshi Yoshiji, Akira Mitoro, Yuta Inoue, Junichi Yamao, Hideto Kawaratani, Takuya Kubo, Masayoshi Takami, Masayuki Fujinaga, Yasuhiko Sawada, Takuya Matsuda, Kou Kitagawa |
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| Rok vydání: | 2020 |
| Předmět: |
Male
Endoscopic ultrasound medicine.medical_specialty Sarcoidosis Biopsy Langhans giant cell Case Report 030204 cardiovascular system & hematology Langhans giant cells 03 medical and health sciences Rare Diseases 0302 clinical medicine Fibrosis Internal Medicine Humans Medicine endoscopic ultrasound-guided fine-needle aspiration Endoscopic Ultrasound-Guided Fine Needle Aspiration Aged medicine.diagnostic_test business.industry Ultrasound isolated pancreatic sarcoidosis General Medicine Middle Aged medicine.disease Pancreatic Neoplasms Fine-needle aspiration medicine.anatomical_structure noncaseating granuloma Female 030211 gastroenterology & hepatology Radiology business Pancreas Peripheral lymph |
| Zdroj: | Internal Medicine |
| ISSN: | 1349-7235 0918-2918 |
| DOI: | 10.2169/internalmedicine.4034-19 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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