A Rare Variant of Pancreatic Sarcoidosis:
Diagnostic Challenge
Taran Khangura, Gias Uddin, Albert Davies, John Keating
Citation Information :
Khangura T, Uddin G, Davies A, Keating J. A Rare Variant of Pancreatic Sarcoidosis: Diagnostic Challenge. Euroasian J Hepatogastroenterol 2015; 5 (2):118-121.
Pancreatic sarcoidosis is one of the variant of systemic sarcoidosis which is extremely rare in literature
and opined as an enigma. Hence, its diagnosis is very challenging as its presentation mimics pancreatic
carcinoma. In view of a better understanding, we are presenting a case of pancreatic sarcoidosis
to emphasize the above. To clearly distinguish sarcoidosis from malignancy, repeated computed
tomography scans, Positron emission tomography scans, fine needle aspiration cytology, endoscopic
retrograde cholangio-pancreatography supplemented with histology and relevant blood tests proved it to
be a pancreatic sarcoidosis then a malignancy. Over the course, concrete evidence was divulged from
lymph node biopsy and histology in clinching the diagnosis which later transformed into a malignancy.
Therefore, we concluded it is a rare variant of pancreatic sarcoidosis and careful serial investigations
include repeated imaging, histology and blood tests are essential to establish and most importantly
differentiate the diagnosis.
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