Sarcoidosis Mimicking a Malignant Metastatic Disease
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SAGE Publications Ltd
Abstract
Sarcoidosis can have pulmonary and extrapulmonary clinical manifestations depending on the organ of involvement. Because multiple organs are involved by the disease, sarcoid can mimic metastatic diseases. Whenever clinical and radiological clues of metastasis are present, differentials other than cancer should not be missed. Herein, we present a case of a middle aged gentleman who presented to the oncology clinic for 1-month history of low back pain associated with a dry cough along with radiological findings of metastatic disease involving the lungs, liver, lymph nodes, axial spine, and adrenal gland. A biopsy of the liver lesion showed non-caseating granuloma. Elevated blood levels of angiotensin-converting enzyme confirmed the diagnosis of sarcoidosis. © The Author(s) 2023.
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Keywords
Diagnostics, Imaging, Metastasis, Pathology, Sarcoidosis, C reactive protein, Dipeptidyl carboxypeptidase, Fluorodeoxyglucose, Hemoglobin a1c, Prednisone, Adrenal metastasis, Adult, Article, Axillary lymph node, Blood cell count, Blood sampling, Bone atrophy, Bone lesion, Calcium blood level, Case report, Caseating granuloma, Clinical article, Computer assisted tomography, Dry cough, Electrolyte blood level, Erythrocyte sedimentation rate, Fasting blood glucose level, Human, Human tissue, Lipid fingerprinting, Liver biopsy, Liver injury, Liver metastasis, Low back pain, Lumbar spine, Lung metastasis, Lymph node metastasis, Male, Mediastinum lymph node, Middle aged, Nuclear magnetic resonance imaging, Pelvis lymph node, Positron emission tomography, Spine, Spine metastasis, Ultrasound guided biopsy