Splenic sarcoidosis simulating metastasis
DOI:
https://doi.org/10.32818/reccmi.a4n2a14Keywords:
sarcoidosis, spleen, splenic sarcoidosis.Abstract
Sarcoidosis is a multisystemic granulomatous disease of unknown etiology. We present the case of a middle aged patient, diagnosed with sarcoidosis with lymph node involvement, pulmonary and probably central nervous system, which begins with a non-specific constitutional and clinical picture. Two radiological tests, PET-CT and splenic MRI, are performed, showing lesions compatible with the neoplastic process as the first diagnostic possibility. In spite of the firm clinical suspicion of splenic sarcoidosis, finally the diagnosis and therapeutic splenectomy is performed in the face of the contradiction of radiological reports. The result of the pathological anatomy was compatible with sarcoid granulomas.
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Copyright (c) 2019 Clara Costo-Muriel, Jaime Sanz-Cánovas, Iván Pérez-de Pedro, Vicente Cívico-Amat, Ricardo Gómez-Huelgas
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