Medicine · 2021
Necrotizing sarcoid granulomatosis simulating pulmonary malignancy: A case report.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Kim Jun Hyeok, Nam Bo Da, Hwang Jung Hwa, Kim Dong Won, Kim Ki-Up, Park Young Woo
Аннотация
RATIONALE: Necrotizing sarcoid granulomatosis (NSG) has recently been termed "sarcoidosis with NSG pattern" for the disease entity representing nodular sarcoidosis with granulomatous pulmonary angiitis. It is characterized by sarcoid-like granulomas, vasculitis, and a variable degree of necrosis. Its rarity and nonspecific clinical symptoms can easily lead to misdiagnosis or delayed diagnosis.
PATIENT CONCERNS: We report a 67-year-old female with a biopsy-confirmed sarcoidosis with NSG pattern mimicking pulmonary malignancy on initial chest computed tomography scan.
DIAGNOSES: Sarcoidosis with NSG pattern.
INTERVENTIONS: The patient underwent video-assisted thoracoscopic surgery with a lung biopsy. No further treatment was performed after the lung biopsy.
OUTCOMES: Follow-up imaging studies revealed spontaneous regression of the disease after 2 months.
LESSONS: Awareness of this rare benign disease entity and overlapping radiologic manifestations with pulmonary malignancy or other granulomatous diseases can be helpful for making a precise diagnosis with a better differential diagnosis.
PATIENT CONCERNS: We report a 67-year-old female with a biopsy-confirmed sarcoidosis with NSG pattern mimicking pulmonary malignancy on initial chest computed tomography scan.
DIAGNOSES: Sarcoidosis with NSG pattern.
INTERVENTIONS: The patient underwent video-assisted thoracoscopic surgery with a lung biopsy. No further treatment was performed after the lung biopsy.
OUTCOMES: Follow-up imaging studies revealed spontaneous regression of the disease after 2 months.
LESSONS: Awareness of this rare benign disease entity and overlapping radiologic manifestations with pulmonary malignancy or other granulomatous diseases can be helpful for making a precise diagnosis with a better differential diagnosis.