AI Article Synopsis
- A 49-year-old woman with no symptoms had an abnormal finding in her chest x-ray, leading to further imaging tests that showed lesions in her liver, spleen, and spine.
- The biopsy confirmed that these lesions were due to sarcoidosis, not metastatic cancer, despite their similar appearance.
- Treatment with prednisolone resulted in significant improvement of the lesions in her liver, spleen, and spine.
Article Abstract
An asymptomatic 49-year-old woman with a diffuse abnormal shadow detected on a routine chest rentogenogram was referred for evaluation. Ultrasonography, computed tomography (CT) and magnetic resonance imaging (MRI) revealed space-occupying lesions in the liver and spleen. Lymphadenopathy was observed in the mediastinum and abdomen on CT, and multiple lesions of low signal intensity were observed in the spine on MRI. Furthermore, the presence of multiple tumorous nodules in the liver suggesting metastatic hepatic cancer was demonstrated on laparoscopy. Biopsy of the liver tumors revealed sarcoidosis; transbronchial biopsy specimens showed identical histological features. After administration of prednisolone for one month, the space-occupying lesions in the liver, spleen and spine improved. This case of sarcoidosis exhibited hepatic tumorous nodules and space-occupying lesions in the spleen and the spine which mimicked the presence of metastatic hepatic cancer.
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| http://dx.doi.org/10.1007/BF02777763 | DOI Listing |
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