A Rare Presentation of Sarcoidosis as a Pancreatic Head Mass
Joint Authors
Panchabhai, Tanmay S.
Patil, Pradnya D.
Mony, Shruti
English, Rebekah
Das, Ananya
Culver, Daniel A.
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-02-21
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Sarcoidosis is a multisystem granulomatous syndrome of unknown etiology with noncaseating epithelioid granulomas being the pathognomonic pathological finding.
Sarcoidosis most commonly involves the lungs and involvement of the gastrointestinal (GI) tract is uncommon.
Pancreatic sarcoidosis is very rare, especially when it is the presenting feature of sarcoidosis and can masquerade as pancreatic cancer.
Tissue infiltration in pancreatic sarcoidosis can lead to either a diffuse nodular appearance or a mass-like lesion.
We present an interesting case of a 47-year-old woman with a 10-pack-year history of smoking who presented with sharp epigastric pain, weight loss, and elevated lipase level.
CT and MRI imaging showed a 4 cm × 5 cm heterogeneous pancreatic mass with a dilated pancreatic duct and peripancreatic lymphadenopathy.
Endoscopic ultrasound guided FNA revealed noncaseating granulomas with no evidence of malignancy or atypical infection.
CT of the chest revealed bilateral mediastinal and hilar adenopathy with calcification, without any parenchymal abnormalities, and her angiotensin-converting enzyme level was elevated at 170 U/L.
The clinical picture pointed to the diagnosis of pancreatic sarcoidosis.
Given the severity of gastrointestinal symptoms related to pancreatic sarcoidosis, prednisone therapy at 0.5 mg/kg/day was initiated with complete resolution of symptoms at 8 weeks.
American Psychological Association (APA)
Mony, Shruti& Patil, Pradnya D.& English, Rebekah& Das, Ananya& Culver, Daniel A.& Panchabhai, Tanmay S.. 2017. A Rare Presentation of Sarcoidosis as a Pancreatic Head Mass. Case Reports in Pulmonology،Vol. 2017, no. 2017, pp.1-3.
https://search.emarefa.net/detail/BIM-1149724
Modern Language Association (MLA)
Mony, Shruti…[et al.]. A Rare Presentation of Sarcoidosis as a Pancreatic Head Mass. Case Reports in Pulmonology No. 2017 (2017), pp.1-3.
https://search.emarefa.net/detail/BIM-1149724
American Medical Association (AMA)
Mony, Shruti& Patil, Pradnya D.& English, Rebekah& Das, Ananya& Culver, Daniel A.& Panchabhai, Tanmay S.. A Rare Presentation of Sarcoidosis as a Pancreatic Head Mass. Case Reports in Pulmonology. 2017. Vol. 2017, no. 2017, pp.1-3.
https://search.emarefa.net/detail/BIM-1149724
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1149724