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Case Reports
Isolated Pancreatic Sarcoidosis Diagnosed by Endoscopic Ultrasound-guided Fine-needle Aspiration.
- Soichi Takeda, Hideto Kawaratani, Masayoshi Takami, Yuta Inoue, Takuya Matsuda, Takuya Kubo, Masayuki Fujinaga, Takahiro Ozutsumi, Masanori Furukawa, Kou Kitagawa, Yasuhiko Sawada, Masakazu Uejima, Akira Mitoro, Junichi Yamao, and Hitoshi Yoshiji.
- Department of Gastroenterology, Nara Medical University, Japan.
- Intern. Med. 2020 Jun 1; 59 (11): 1407-1412.
AbstractWe 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.
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