title: Spontaneous resolution of a tumor like pulmonary sarcoidosis.
abstract: We report a case of thoracic sarcoidosis in a 72-year-old female, snuff taker, who presented with multinodular pulmonary lesions on chest x-ray. Clinical and biological findings were poor. Thoracic imaging showed soft tissue density nodules with irregular borders. The diagnosis of 'cannon ball' metastases was suspected. A thorough investigation strategy could not prove malignancy. A complete radiologic clearing was obtained spontaneously within three months. A rereading of pathology slides performed afterwards showed multinucleated giant cells on hemorrhagic background with a lymphocytic alveolitis. The diagnosis of pseudotumoral sarcoidosis was made. The clinical course was favorable with a 6years follow-up.
authors.affiliation: Military Hospital of Tunis Faculté de Médecine Tunis ; Tunis El Manar University. moatemrizied@yahoo.fr.
authors.forename: Zied
authors.initials: Z
authors.lastname: Moatemri
authors.forename: Ghassen
authors.initials: G
authors.lastname: Soussi
authors.forename: Salsabil
authors.initials: S
authors.lastname: Dabboussi
authors.forename: Samira
authors.initials: S
authors.lastname: Mhamdi
authors.forename: Chiraz
authors.initials: C
authors.lastname: Aichaouia
authors.forename: Mohsen
authors.initials: M
authors.lastname: Khadraoui
authors.forename: Rezaik
authors.initials: R
authors.lastname: Cheikh
mesh_terms: D000368:Aged; D001706:Biopsy; D003937:Diagnosis, Differential; D005260:Female; D015726:Giant Cells / Q000473:pathology; D006801:Humans; D008168:Lung / Q000000981:diagnostic imaging / Q000473:pathology; D008175:Lung Neoplasms / Q000175:diagnosis*; D008214:Lymphocytes / Q000473:pathology; D055613:Multiple Pulmonary Nodules / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology; D011237:Predictive Value of Tests; D012075:Remission, Spontaneous; D017565:Sarcoidosis, Pulmonary / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology; D013997:Time Factors; D014057:Tomography, X-Ray Computed
keywords: Lung masses; Sarcoidosis; Transthoracic biopsy