A Case of Pulmonary Sarcoidosis with Unusual Radiographic Findings Having Developed after Mammoplasty

Abstract

A 65-year-old female, complaining of exertional dyspnea was referred to our hospital for evaluation of progressive interstitial lung infiltrates predominant in the left lung and intrathoracic lymphadenopathy. Interstitial pneumonia associated with adjuvant disease could be ruled out, since she had a history of bilateral mammoplasty 36 years ago. Biopsy specimens of the enlarged paraaortic lymphnode of the mediastinum obtained by video-assisted thoracic surgery (VATS) revealed epithelioid cell granulomas typical of sarcoidosis. Foreign bodies, foreign body reactions, and hyperplasia of lymphfollicles characteristic of adjuvant disease were not observed. VATS was useful for the definite diagnosis of pulmonary sarcoidosis.