Necrotizing sarcoid granulomatosis simulating pulmonary malignancy A case reportopen access
- Authors
- Kim, Jun Hyeok; Da Nam, Bo; Hwang, Jung Hwa; Kim, Dong Won; Kim, Ki-Up; Park, Young Woo
- Issue Date
- 10-Dec-2021
- Publisher
- Lippincott Williams & Wilkins Ltd.
- Keywords
- multiple pulmonary nodule; pulmonary neoplasm; sarcoidosis; vasculitis
- Citation
- Medicine, v.100, no.49, pp 1 - 6
- Pages
- 6
- Journal Title
- Medicine
- Volume
- 100
- Number
- 49
- Start Page
- 1
- End Page
- 6
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/20151
- DOI
- 10.1097/MD.0000000000028208
- ISSN
- 0025-7974
1536-5964
- Abstract
- Rationale: Necrotizing sarcoid granulomatosis (NSG) has recently been termed "sarcoidosis with NSG pattern" for the disease entity representing nodular sarcoidosis with granulomatous pulmonary angiitis. It is characterized by sarcoid-like granulomas, vasculitis, and a variable degree of necrosis. Its rarity and nonspecific clinical symptoms can easily lead to misdiagnosis or delayed diagnosis. Patient concerns: We report a 67-year-old female with a biopsy-confirmed sarcoidosis with NSG pattern mimicking pulmonary malignancy on initial chest computed tomography scan. Diagnoses: Sarcoidosis with NSG pattern. Interventions: The patient underwent video-assisted thoracoscopic surgery with a lung biopsy. No further treatment was performed after the lung biopsy. Outcomes: Follow-up imaging studies revealed spontaneous regression of the disease after 2 months. Lessons: Awareness of this rare benign disease entity and overlapping radiologic manifestations with pulmonary malignancy or other granulomatous diseases can be helpful for making a precise diagnosis with a better differential diagnosis.
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- Appears in
Collections - College of Medicine > Department of Cardiovascular Surgery > 1. Journal Articles
- College of Medicine > Department of Internal Medicine > 1. Journal Articles
- College of Medicine > Department of Pathology > 1. Journal Articles
- College of Medicine > Department of Radiology > 1. Journal Articles
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