Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Systemic Sarcoidosis Associated with Double Cancers of the Esophagus and Stomach
Osamu UsamiMasayuki NaraTsutomu TamadaTomomi KitamuroMasafumi TomakiYugo AshinoKo OnoderaShukichi MiyazakiTakuya MoriyaToshio Hattori
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JOURNALS OPEN ACCESS

2007 Volume 46 Issue 24 Pages 2019-2022

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Abstract

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.

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© 2007 by The Japanese Society of Internal Medicine
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