Diagnostic Challenge in Pancreatic Sarcoidosis Using Endoscopic Ultrasonography

被引：5

作者：

Azemoto, Nobuaki ^{[1
,2
]}

Kumagi, Teru ^{[1
]}

Koizumi, Mitsuhito ^{[1
]}

Kuroda, Taira ^{[1
]}

Yamanishi, Hirofumi ^{[1
]}

Ohno, Yoshinori ^{[1
]}

Imamura, Yoshiki ^{[1
]}

Takeshita, Eiji ^{[1
]}

Soga, Yoshiko ^{[3
]}

Ikeda, Yoshiou ^{[4
]}

Onji, Morikazu ^{[1
]}

Hiasa, Yoichi ^{[1
]}

机构：

[1] Ehime Univ, Grad Sch Med, Dept Gastroenterol & Metabol, Matsuyama, Ehime, Japan

[2] Natl Hosp Org, Shikoku Canc Ctr, Matsuyama, Ehime, Japan

[3] Ehime Univ Hosp, Pathol, Toon, Ehime, Japan

[4] Ehime Univ Hosp, Endoscopy Ctr, Toon, Ehime, Japan

来源：

INTERNAL MEDICINE | 2018年 / 57卷 / 02期

关键词：

pancreas; sarcoidosis; endoscopic ultrasonography (EUS); contrast enhanced-EUS; EUS elastography;

D O I：

10.2169/internalmedicine.9084-17

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

We herein report a 55-year-old woman who presented with erythema and bilateral hilar lymphadenopathy 4 months prior to the detection of pancreatic lesions on an ultrasound. A skin biopsy showed evidence of sarcoidosis. The largest lesion in the tail of the pancreas was hypoechoic on endoscopic ultrasonography (EUS). The lesion was initially iso-enhanced on contrast enhanced-EUS (CE-EUS) but subsequently became hypoenhanced. The lesion revealed heterogeneous components of both soft and hard tissue on EUS elastography. She was ultimately diagnosed with pancreatic sarcoidosis based on the presence of noncaseating granulomas seen on pancreatic tissue retrieved through an EUS-guided fine needle aspiration biopsy.

引用

页码：231 / 235

页数：5

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