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Extrapulmonary sarcoidosis of liver and pancreas: A case report and review of literature

机译:肝和胰腺肺外结节病一例报告并文献复习

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摘要

Sarcoidosis is a chronic multisystemic granulomatous disease of unknown origin, which can involve nearly all organs. In the case of an infrequent gastrointestinal tract involvement in systemic sarcoidosis, granulomas of the liver are most commonly described while isolated pancreatic sarcoid lesions are rarely seen. We report a case of systemic sarcoidosis with exclusive extrapulmonal involvement of the liver and the pancreas in a 71-year-old white man. The diagnosis of liver involvement was confirmed by biopsy. Pancreatic surgery was needed because preoperative evaluation could not exclude pancreatic cancer and for biliary decompression. An extensive literature review of systemic sarcoidosis, focusing on reported cases with unusual presentation of sarcoidosis in the liver and the pancreas, its diagnosis, treatment, and prognosis was made.
机译:结节病是一种未知来源的慢性多系统肉芽肿病,几乎可以累及所有器官。在不常见的胃肠道累及系统性结节病的情况下,最常描述的是肝肉芽肿,而很少出现孤立的胰腺结节病灶。我们报道了一名71岁的白人患有全身性结节病,肝脏和胰脏仅受肺外侵犯。活检证实了肝脏受累的诊断。需要进行胰腺手术,因为术前评估不能排除胰腺癌和胆道减压。对系统性结节病的广泛文献综述,集中在报告的肝和胰腺结节病异常表现的病例,诊断,治疗和预后方面。

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