title: Pancreatic sarcoidosis discovered during Whipple procedure.
abstract: Pancreatic sarcoidosis is a rare variant of systemic sarcoidosis, with cases described in literature as recently as January 2010. We present here a case of pancreatic involvement with non-caseating granulomas discovered on laparotomy in a patient with a preoperative diagnosis of pancreatic carcinoma. Computer tomography scan without contrast revealed a well-marginated smooth-shaped tumor in the head of the pancreas morphologically consistent with malignancy. During Whipple procedure, the mass was found to be a large lymph node that contained numerous non-caseating granulomas. Radiologically and clinically, non-caseating granulomas of the pancreas are often misdiagnosed as malignant tumor. Special attention given to this differential diagnosis by surgeons, pathologists and clinicians can avoid misdiagnosis and unnecessary treatment.
authors: Department of Surgery, The Brooklyn Hospital Center, Brooklyn, NY, USA jac9141@nyp.org.
authors: Jonathan
authors: J
authors: Cook
authors: Department of Surgery, The Brooklyn Hospital Center, Brooklyn, NY, USA.
authors: Tanner
authors: T
authors: Spees
authors: Department of Surgery, The Brooklyn Hospital Center, Brooklyn, NY, USA.
authors: Phillip
authors: P
authors: Telefus
authors: Department of Surgery, The Brooklyn Hospital Center, Brooklyn, NY, USA.
authors: Jeffrey M
authors: JM
authors: Ranaudo
authors: Department of Surgery, The Brooklyn Hospital Center, Brooklyn, NY, USA.
authors: Stephen
authors: S
authors: Carryl
authors: Department of Pathology, The Brooklyn Hospital Center, Brooklyn, NY, USA.
authors: Philip
authors: P
authors: Xiao