CONTEXT: Symptomatic pancreatic involvement in sarcoidosis is extremely rare. There are 25 reported cases of detected pancreatic sarcoidosis before death. CASE REPORT: We report the case of a male patient with a history of pulmonary sarcoidosis, who presented with clinical picture and CT scan findings suggestive of pancreatic cancer. Pancreatic mass biopsy showed lesions consistent with sarcoidosis. Patient had excellent clinical response to steroids. CONCLUSION: Pancreatic involvement is usually asymptomatic and discovered on autopsy. However, clinicians should be cognizant that sarcoidosis can present with symptomatic pancreatic mass, albeit rarely.
CONTEXT: Symptomatic pancreatic involvement in sarcoidosis is extremely rare. There are 25 reported cases of detected pancreatic sarcoidosis before death. CASE REPORT: We report the case of a male patient with a history of pulmonary sarcoidosis, who presented with clinical picture and CT scan findings suggestive of pancreatic cancer. Pancreatic mass biopsy showed lesions consistent with sarcoidosis. Patient had excellent clinical response to steroids. CONCLUSION:Pancreatic involvement is usually asymptomatic and discovered on autopsy. However, clinicians should be cognizant that sarcoidosis can present with symptomatic pancreatic mass, albeit rarely.
Authors: Talles Bazeia Lima; Maria Aparecida Custódio Domingues; Carlos Antonio Caramori; Giovanni Faria Silva; Cássio Vieira de Oliveira; Fábio da Silva Yamashiro; Letícia de Campos Franzoni; Lígia Yukie Sassaki; Fernando Gomes Romeiro Journal: World J Gastroenterol Date: 2013-09-14 Impact factor: 5.742