Roh Won Seok, Lee Seungho, Park Ji Hyun, Kang Jeonghyun
Department of Medicine, Yonsei University College of Medicine, Seoul, Korea.
Department of Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
Ann Coloproctol. 2018 Apr;34(2):101-105. doi: 10.3393/ac.2018.01.29. Epub 2018 Apr 30.
We present a patient diagnosed with skin sarcoidosis, breast cancer, pulmonary tuberculosis, and peritoneal sarcoidosis with a past history of colorectal cancer. During stage work up for breast cancer, suspicious lesions on peritoneum were observed in imaging studies. Considering our patient's history and imaging findings, we initially suspected peritoneal carcinomatosis. However, the peritoneal lesion was diagnosed as sarcoidosis in laparoscopic biopsy. This case demonstrates that abdominal sarcoidosis might be considered as a differential diagnosis when there is a lesion suspected of being peritoneal carcinomatosis with nontypical clinical presentations.
我们报告一例患者,其被诊断患有皮肤结节病、乳腺癌、肺结核和腹膜结节病,既往有结直肠癌病史。在乳腺癌分期检查过程中,影像学研究发现腹膜上有可疑病变。考虑到患者的病史和影像学表现,我们最初怀疑是腹膜癌转移。然而,腹腔镜活检将腹膜病变诊断为结节病。该病例表明,当存在疑似腹膜癌转移且临床表现不典型的病变时,腹部结节病可能应作为鉴别诊断考虑。