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

作     者：Hermann Harder Markus W Büchler Boris Frhlich Philipp Strbel Frank Bergmann Wolfgang Neff Manfred V Singer 

作者机构：Department of Medicine Ⅱ (Gastroenterology Hepatology and Infectious Diseases) University Hospital of Heidelberg at Mannheim Germany Department of Surgery University of Heidelberg GermanyFrank Bergmann Institute of Pathology University of Heidelberg Germany Institute of Pathology University Hospital of Heidelberg at Mannheim Germany Institute of PathologyUniversity of HeidelbergGermany Institute of Radiology University Hospital of Heidelberg at Mannheim Germany 

出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)

年 卷 期：2007年第13卷第17期

页      面：2504-2509页

核心收录：

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：肺外肉状瘤病 肝脏肉状瘤病 胰腺肉状瘤病 病例报告 文献综述 

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.