Isolated Pancreatic Sarcoidosis Diagnosed by Endoscopic Ultrasound-guided Fine-needle Aspiration

被引：2

作者：

Takeda, Soichi ^{[1
]}

Kawaratani, Hideto ^{[1
]}

Takami, Masayoshi ^{[1
]}

Inoue, Yuta ^{[1
]}

Matsuda, Takuya ^{[1
]}

Kubo, Takuya ^{[1
]}

Fujinaga, Masayuki ^{[1
]}

Ozutsumi, Takahiro ^{[1
]}

Furukawa, Masanori ^{[1
]}

Kitagawa, Kou ^{[1
]}

Sawada, Yasuhiko ^{[1
]}

Uejima, Masakazu ^{[1
]}

Mitoro, Akira ^{[1
]}

Yamao, Junichi ^{[1
]}

Yoshiji, Hitoshi ^{[1
]}

机构：

[1] Nara Med Univ, Dept Gastroenterol, Kashihara, Nara, Japan

来源：

INTERNAL MEDICINE | 2020年 / 59卷 / 11期

关键词：

noncaseating granuloma; Langhans giant cells; isolated pancreatic sarcoidosis; endoscopic ultrasound-guided fine-needle aspiration; MANIFESTATIONS;

D O I：

10.2169/internalmedicine.4034-19

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

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 non-caseating 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.

引用

页码：1407 / 1412

页数：6

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