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Sarcoidosis Mimicking a Malignant Metastatic Disease.

Georges El HasbaniNagi El SaghirHicham MoukaddamLama FarhatNina ShabbImad Uthman
Published in: Clinical medicine insights. Arthritis and musculoskeletal disorders (2023)
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.
Keyphrases
  • squamous cell carcinoma
  • small cell lung cancer
  • angiotensin converting enzyme
  • lymph node
  • middle aged
  • pulmonary hypertension
  • young adults
  • early stage
  • locally advanced
  • fine needle aspiration
  • sentinel lymph node