Hepatic Sarcoidosis Complicated with Pancreatic Adenocarcinoma

Abstract EN

Sarcoidosis is a systemic noncaseous granulomatous disease.

The liver is a common location but usually asymptomatic.

Current literature suggests an association between sarcoidosis and cancers.

However, there is a lack of definite evidence.

We present a case of a 59-year-old man with jaundice and acutely elevated alkaline phosphatase.

The diagnosis was confirmed by obtaining a liver biopsy and was treated with 6 months of steroids.

A year later, he had a recurrence of jaundice.

MRCP showed biliary dilatation and a mass in the pancreatic head, confirmed by biopsy to be adenocarcinoma.

This is the first case to be reported of hepatic sarcoidosis associated with pancreatic cancer.