Lee Hye Jin, Seo Hyewon, Cha Seung Ick, Park Tae In, Kim Chang Ho, Lee Jaehee
Department of Internal Medicine, School of Medicine, Kyungpook National University, Daegu, Republic of Korea.
Department of Pathology, School of Medicine, Kyungpook National University, Daegu, Republic of Korea.
Ann Transl Med. 2019 Sep;7(18):496. doi: 10.21037/atm.2019.08.98.
Sarcoidosis is an idiopathic systemic granulomatous disorder that can involve any organ, although the lung is the most commonly affected site; moreover, it may affect multiple organs simultaneously or serially over a long time span. Diagnosing sarcoidosis can be a challenge in cases presenting an isolated extra-thoracic lesion at the early stage of disease. Pulmonary nodular lesion, a rare radiologic finding, may also lead to delayed diagnosis of sarcoidosis. We reported a case of atypical pulmonary nodular sarcoidosis that was suspected as lung adenocarcinoma, which was diagnosed about 20 years after initial isolated extra-thoracic manifestation occurred.
结节病是一种特发性全身性肉芽肿性疾病,可累及任何器官,尽管肺部是最常受累的部位;此外,它可能在很长一段时间内同时或相继影响多个器官。在疾病早期出现孤立的胸外病变的病例中,诊断结节病可能具有挑战性。肺部结节性病变是一种罕见的影像学表现,也可能导致结节病的诊断延迟。我们报告了一例非典型肺部结节性结节病,最初被怀疑为肺腺癌,在最初出现孤立的胸外表现约20年后才得以确诊。