Old-scar mass and changing surgical perspective: Sarcoidosis.
Sarcoidosis is a systemic inflammatory disease of an unknown etiology. Skin is involved in 25% of all cases, and 29% of them present as a scar sarcoidosis. Asymptomatic old-scar masses are generally regarded as a foreign body reaction by surgeons and often result in excisional biopsy. We describe a case of a patient who developed sarcoidosis in a 34-year-old appendectomy scar and adjacent inguinal lymph nodes without any local or systemic symptom and radiologic finding. Surgeons should not underestimate the importance of such lesions as a simple condition. Scar sarcoidosis may resolve spontaneously, or the treatment with some topical agents is effective. Furthermore, scar sarcoidosis may be the initial manifestation of systemic sarcoidosis.
Clinic of General Surgery, Samsun Training and Research Hospital, Samsun, Turkey.
Recep
R
Aktimur
Clinic of Internal Diseases, Samsun Training and Research Hospital, Samsun, Turkey.
Sude Hatun
SH
Aktimur
Clinic of General Surgery, Samsun Training and Research Hospital, Samsun, Turkey.
Elif
E
Çolak
Clinic of Pathology, Samsun Training and Research Hospital, Samsun, Turkey.
Ömer
Ö
Alıcı
Clinic of Internal Diseases, Division of Rheumatology, Samsun Training and Research Hospital, Samsun, Turkey.
Mehmet Derya
MD
Demirağ
Scar; mass; sarcoidosis