Journal of

Case Reports and Images in Oncology

 
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Case Report
 
Association of sarcoid-like reaction with pancreatic malignancy
Praneet Wander1, Adedapo Iluyomade1, Akriti Gupta2, Arunpreet S. Kahlon3, Aakash Aggarwal3
1Department of Internal Medicine, Mount Sinai St Luke's Roosevelt Hospital, New York.
2Intern, Dayanand Medical College and Hospital, Ludhiana, Punjab, India.
3Department of Internal Medicine, State University of New York Upstate Medical University, Syracuse, New York.

Article ID: 100018Z10PW2016
doi:10.5348/Z10-2016-18-CR-9

Address correspondence to:
Praneet Wander
MD, Department of Internal Medicine
Mount Sinai St Lukes Roosevelt Hospital, 1111 Amsterdam Ave
New York, NY 10025

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How to cite this article:
Wander P, Iluyomade A, Gupta A, Kahlon AS, Aggarwal A. Association of sarcoid-like reaction with pancreatic malignancy. J Case Rep Images Oncology 2016;2:35–37.


Abstract
Introduction: Paraneoplastic syndromes manifesting as non-caseating epithelioid granulomas have been documented in the medical literature since 1917. These can pose a diagnostic and therapeutic dilemma if not identified as associations.
Case Report: We present a case of mucinous adenocarcinoma in the pancreatic head, associated with hilar and mediastinal lymphadenopathy. After a complicated and ultimately terminal progression of disease, post-mortem lymph node biopsy confirmed non-caseating granulomas.
Conclusion: Thus it is prudent to identify such histopathologic changes with lymph node biopsy before further management decisions are made.

Keywords: Epithelioid granulomas, Pancreatic cancer, Paraneoplastic, Sarcoidosis


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Author Contributions
Praneet Wander – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of the data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Adedapo Iluyomade – Acquisition of data, Drafting the article, Final approval of the version to be published
Akriti Gupta – Substantial contributions to conception and design, Drafting the article, Final approval of the version to be published
Arunpreet S. Kahlon – Analysis and interpretation of the data, Revising it critically for important intellectual content, Final approval of the version to be published
Aakash Aggarwal – Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2016 Praneet Wander et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



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