Concurrent diagnosis of oropharynx cancer and bone sarcoidosis mimicking metastasis

Razanamahery, J.; Caubet, Matthieu; Gassian, Noémie; Echalier, C.; Soumagne, Thibaud

doi:10.1016/j.canrad.2020.06.025

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“…For example, sarcoidosis can rarely co-exist with thyroid cancer 12 and oropharyngeal cancer. 13 Interestingly, sarcoidosis has been rarely reported to mimic a pattern of metastatic breast cancer, 14 and head and neck cancer. 15 Very rarely, sarcoidosis can mimic a widespread metastatic disease.…”

Section: Discussionmentioning

confidence: 99%

Sarcoidosis Mimicking a Malignant Metastatic Disease

Hasbani

Saghir

Moukaddam

et al. 2023

Clin Med�Insights�Arthritis�Musculoskelet Disord

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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.

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