A rare nonmalignant mass of the pancreas: Case report and review of pancreatic sarcoidosis

Martin Wijkstrom, Rabih I. Bechara, Juan M. Sarmiento

Research output: Contribution to journalReview articlepeer-review

10 Scopus citations

Abstract

Sarcoidosis is a systemic granulomatous disease of unknown etiology affecting patients from all genetic backgrounds. Pancreatic involvement is rare; the first case was described on autopsy in 1937. We present a case of pancreatic sarcoidosis without a history of the disease presenting as biliary obstruction mimicking pancreatic malignancy.We also review the literature with respect to management and outcomes of similar cases. The patient described here presented with all the signs and symptoms of a pancreatic malignancy, which was confirmed on a CTscan; the positron emission tomography scan and the CA 19-9 level were also confirmatory of the suspected diagnosis. In this setting, if the mass looks resectable, a Whipple procedure would be the next logical step. However, such strategy would be aggressive management for a benign condition that could be palliated with diverting rather than resective procedures without changing the outlook of the disease.We suggest keeping a high index of suspicion in patients with a history of the disease if demographic concordance exists.

Original languageEnglish (US)
Pages (from-to)79-84
Number of pages6
JournalAmerican Surgeon
Volume76
Issue number1
StatePublished - Jan 2010

ASJC Scopus subject areas

  • Surgery

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