Peculiar encounter of sarcoidosis and solid pseudopapillary tumor of the pancreas

Author:

Cobilinschi Claudia12,Cobilinschi Cristian23,Trifan Iuliana1,Busuioc Constantin-Ioan4,Ionescu Ruxandra12,Opriş-Belinski Daniela12

Affiliation:

1. St. Maria Clinical Hospital – Rheumatology and Internal Medicine Department , Bucharest , Romania

2. Carol Davila University of Medicine and Pharmacy , Bucharest , Romania

3. Bucharest Clinical Emergency Hospital, Intensive Care Unit , Romania

4. Matei Balș National Institute for Infectious Diseases , Morphology Department , Romania

Abstract

Abstract Objective: Current literature indicates a connection between sarcoidosis and malignancy, prompting advanced screening in uncertain cases. Solid pseudopapillary tumors (SPT) of the pancreas are rare entities that can be confirmed by adding imaging results to immunohistochemistry staining. The aim of this article is to describe a rare association of sarcoidosis and SPT. Materials and methods: Case report. Results: A young female patient with no prior medical history presents with shortness of breath and fatigue. The diagnosis of pulmonary and hepatic sarcoidosis is placed upon laboratory and radiographic changes. Intermittent abdominal pain prompts an MRI that shows the presence of a tumoral mass in the tail of the pancreas. Surgical resection of the mass is performed and histological examination indicates a SPT, subsequently confirmed by immunohistochemistry. Conclusion: This is the third reported case of concomitant sarcoidosis and solid pseudopapillary tumor of the pancreas.

Publisher

Walter de Gruyter GmbH

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