Systemic sarcoidosis associated with double cancers of the esophagus and stomach.
To discriminate between sarcoidosis and sarcoid reaction in the lymphadenopathy of malignancy is sometimes clinically important. We describe a case of sarcoidosis associated with double cancers of the esophagus and stomach. A patient who six months previously was found to have early gastric cancer, was then found to have esophagus cancer. The chest radiography demonstrated bilateral hilar lymphadenopathy. Pathological analysis of the lymph nodes and lungs showed non-caseating epithelioid cell granuloma, revealing the existence of sarcoidosis. The findings suggest that the possibility of systemic sarcoidosis should be considered in cases with established malignancy and newly disclosed radiographic findings.
Usami
Osamu
O
Division of Infectious and Respiratory Diseases, Tohoku University, Sendai.
Nara
Masayuki
M
Tamada
Tsutomu
T
Kitamuro
Tomomi
T
Tomaki
Masafumi
M
Ashino
Yugo
Y
Onodera
Ko
K
Miyazaki
Shukichi
S
Moriya
Takuya
T
Hattori
Toshio
T
D003937:Diagnosis, Differential; D004938:Esophageal Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000473:pathology; D006801:Humans; D008168:Lung / Q000473:pathology; D008198:Lymph Nodes / Q000473:pathology; D008206:Lymphatic Diseases / Q000175:diagnosis / Q000209:etiology / Q000473:pathology; D008297:Male; D008875:Middle Aged; D009378:Neoplasms, Multiple Primary / Q000175:diagnosis / Q000473:pathology; D012507:Sarcoidosis / Q000175:diagnosis / Q000209:etiology* / Q000473:pathology; D013274:Stomach Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000473:pathology