Sarcoidosis Lung Nodules in Colorectal Cancer Follow-Up: Sarcoidosis or Not?

Abstract Objective Sarcoidosis is a multisystem chronic granulomatous disease found predominantly in the lungs and lymph nodes. Its pathologic hallmark is the presence of noncaseating granulomas. Sarcoidosis is a chronic inflammatory condition that may increase the risk of cancer, yet at the same ti...

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Veröffentlicht in:The American journal of medicine 2013-07, Vol.126 (7), p.642-645
Hauptverfasser: Lequoy, Marie, MD, Coriat, Romain, MD, PhD, Rouquette, Alexandre, MD, Mir, Olivier, MD, MSc, Perkins, Géraldine, MD, MSc, Regnard, Jean-François, MD, Brezault, Catherine, MD, MSc, Chaussade, Stanislas, MD, PhD
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container_end_page 645
container_issue 7
container_start_page 642
container_title The American journal of medicine
container_volume 126
creator Lequoy, Marie, MD
Coriat, Romain, MD, PhD
Rouquette, Alexandre, MD
Mir, Olivier, MD, MSc
Perkins, Géraldine, MD, MSc
Regnard, Jean-François, MD
Brezault, Catherine, MD, MSc
Chaussade, Stanislas, MD, PhD
description Abstract Objective Sarcoidosis is a multisystem chronic granulomatous disease found predominantly in the lungs and lymph nodes. Its pathologic hallmark is the presence of noncaseating granulomas. Sarcoidosis is a chronic inflammatory condition that may increase the risk of cancer, yet at the same time, cancer can be associated with a sarcoid-like reaction. Methods It is difficult to distinguish between sarcoidosis and sarcoid-like reactions because their imaging characteristics are identical. We report on 3 cases of sarcoidosis or sarcoid-like reactions in patients with colorectal cancer and highlight the diagnosis process. Results Systemic symptoms observed in patients with sarcoidosis commonly can be masked or mimicked by symptoms related to the malignancy. Moreover, it is important to distinguish between the 2 entities to give patients adequate therapy. Conclusion Our cases focused on the usefulness of histologic proof in patients with cancer with sarcoidosis.
doi_str_mv 10.1016/j.amjmed.2012.12.020
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Its pathologic hallmark is the presence of noncaseating granulomas. Sarcoidosis is a chronic inflammatory condition that may increase the risk of cancer, yet at the same time, cancer can be associated with a sarcoid-like reaction. Methods It is difficult to distinguish between sarcoidosis and sarcoid-like reactions because their imaging characteristics are identical. We report on 3 cases of sarcoidosis or sarcoid-like reactions in patients with colorectal cancer and highlight the diagnosis process. Results Systemic symptoms observed in patients with sarcoidosis commonly can be masked or mimicked by symptoms related to the malignancy. Moreover, it is important to distinguish between the 2 entities to give patients adequate therapy. Conclusion Our cases focused on the usefulness of histologic proof in patients with cancer with sarcoidosis.</description><identifier>ISSN: 0002-9343</identifier><identifier>EISSN: 1555-7162</identifier><identifier>DOI: 10.1016/j.amjmed.2012.12.020</identifier><identifier>PMID: 23787197</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Biopsy ; Biopsy, Fine-Needle ; Colorectal carcinoma ; Colorectal Neoplasms - complications ; Diagnosis ; Diagnosis, Differential ; Endoscopic ultrasound ; Female ; Granuloma - pathology ; Humans ; Internal Medicine ; Lung Neoplasms - diagnosis ; Lung Neoplasms - etiology ; Lymph Nodes - pathology ; Male ; Middle Aged ; Positron-Emission Tomography - methods ; Sarcoidosis ; Sarcoidosis, Pulmonary - diagnosis ; Sarcoidosis, Pulmonary - etiology</subject><ispartof>The American journal of medicine, 2013-07, Vol.126 (7), p.642-645</ispartof><rights>Elsevier Inc.</rights><rights>2013 Elsevier Inc.</rights><rights>Copyright © 2013 Elsevier Inc. 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Its pathologic hallmark is the presence of noncaseating granulomas. Sarcoidosis is a chronic inflammatory condition that may increase the risk of cancer, yet at the same time, cancer can be associated with a sarcoid-like reaction. Methods It is difficult to distinguish between sarcoidosis and sarcoid-like reactions because their imaging characteristics are identical. We report on 3 cases of sarcoidosis or sarcoid-like reactions in patients with colorectal cancer and highlight the diagnosis process. Results Systemic symptoms observed in patients with sarcoidosis commonly can be masked or mimicked by symptoms related to the malignancy. Moreover, it is important to distinguish between the 2 entities to give patients adequate therapy. Conclusion Our cases focused on the usefulness of histologic proof in patients with cancer with sarcoidosis.</description><subject>Biopsy</subject><subject>Biopsy, Fine-Needle</subject><subject>Colorectal carcinoma</subject><subject>Colorectal Neoplasms - complications</subject><subject>Diagnosis</subject><subject>Diagnosis, Differential</subject><subject>Endoscopic ultrasound</subject><subject>Female</subject><subject>Granuloma - pathology</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Lung Neoplasms - diagnosis</subject><subject>Lung Neoplasms - etiology</subject><subject>Lymph Nodes - pathology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Positron-Emission Tomography - methods</subject><subject>Sarcoidosis</subject><subject>Sarcoidosis, Pulmonary - diagnosis</subject><subject>Sarcoidosis, Pulmonary - etiology</subject><issn>0002-9343</issn><issn>1555-7162</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkU1r3DAQhkVoabZp_0EIPvbi7ehjZSmHlrA0bWFJDknPQpbHRa7W2kjrhPz7ymwCIZfAgBDzvvPxDCGnFJYUqPw6LO122GK3ZEDZsgQwOCILulqt6oZK9o4sAIDVmgt-TD7mPJQv6JX8QI4Zb1RDdbMgmxubXPRdzD5Xm2n8W13FbgqYKz9W6xhiQre3oVrb0WGqLmMI8aH-szuvXhpjKrb990_kfW9Dxs9P7wm5vfxxu_5Vb65__l5fbGonaLOvKe971QuQApVUHFSnLKDQLe0tU2VeBNW2VgoKSmvVaCsZ1wggZKuQ8xPy5VB2l-LdhHlvtj47DMGOGKdsKG9AcskaVaTiIHUp5pywN7vktzY9GgpmxmgGc8BoZoymRMFYbGdPHaZ2zj2bnrkVwbeDAMua9x6Tyc5jQdT5GZjpon-rw-sCLvjROxv-4SPmIU5pLAgNNbkYzM18yvmSlANQoSX_D26AmAc</recordid><startdate>20130701</startdate><enddate>20130701</enddate><creator>Lequoy, Marie, MD</creator><creator>Coriat, Romain, MD, PhD</creator><creator>Rouquette, Alexandre, MD</creator><creator>Mir, Olivier, MD, MSc</creator><creator>Perkins, Géraldine, MD, MSc</creator><creator>Regnard, Jean-François, MD</creator><creator>Brezault, Catherine, MD, MSc</creator><creator>Chaussade, Stanislas, MD, PhD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20130701</creationdate><title>Sarcoidosis Lung Nodules in Colorectal Cancer Follow-Up: Sarcoidosis or Not?</title><author>Lequoy, Marie, MD ; Coriat, Romain, MD, PhD ; Rouquette, Alexandre, MD ; Mir, Olivier, MD, MSc ; Perkins, Géraldine, MD, MSc ; Regnard, Jean-François, MD ; Brezault, Catherine, MD, MSc ; Chaussade, Stanislas, MD, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c417t-13ff8f4064e868308d8a0e49b1fa28934e08bba6410899879a6239e0046b8e33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Biopsy</topic><topic>Biopsy, Fine-Needle</topic><topic>Colorectal carcinoma</topic><topic>Colorectal Neoplasms - complications</topic><topic>Diagnosis</topic><topic>Diagnosis, Differential</topic><topic>Endoscopic ultrasound</topic><topic>Female</topic><topic>Granuloma - pathology</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Lung Neoplasms - diagnosis</topic><topic>Lung Neoplasms - etiology</topic><topic>Lymph Nodes - pathology</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Positron-Emission Tomography - methods</topic><topic>Sarcoidosis</topic><topic>Sarcoidosis, Pulmonary - diagnosis</topic><topic>Sarcoidosis, Pulmonary - etiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lequoy, Marie, MD</creatorcontrib><creatorcontrib>Coriat, Romain, MD, PhD</creatorcontrib><creatorcontrib>Rouquette, Alexandre, MD</creatorcontrib><creatorcontrib>Mir, Olivier, MD, MSc</creatorcontrib><creatorcontrib>Perkins, Géraldine, MD, MSc</creatorcontrib><creatorcontrib>Regnard, Jean-François, MD</creatorcontrib><creatorcontrib>Brezault, Catherine, MD, MSc</creatorcontrib><creatorcontrib>Chaussade, Stanislas, MD, PhD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lequoy, Marie, MD</au><au>Coriat, Romain, MD, PhD</au><au>Rouquette, Alexandre, MD</au><au>Mir, Olivier, MD, MSc</au><au>Perkins, Géraldine, MD, MSc</au><au>Regnard, Jean-François, MD</au><au>Brezault, Catherine, MD, MSc</au><au>Chaussade, Stanislas, MD, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sarcoidosis Lung Nodules in Colorectal Cancer Follow-Up: Sarcoidosis or Not?</atitle><jtitle>The American journal of medicine</jtitle><addtitle>Am J Med</addtitle><date>2013-07-01</date><risdate>2013</risdate><volume>126</volume><issue>7</issue><spage>642</spage><epage>645</epage><pages>642-645</pages><issn>0002-9343</issn><eissn>1555-7162</eissn><abstract>Abstract Objective Sarcoidosis is a multisystem chronic granulomatous disease found predominantly in the lungs and lymph nodes. Its pathologic hallmark is the presence of noncaseating granulomas. Sarcoidosis is a chronic inflammatory condition that may increase the risk of cancer, yet at the same time, cancer can be associated with a sarcoid-like reaction. Methods It is difficult to distinguish between sarcoidosis and sarcoid-like reactions because their imaging characteristics are identical. We report on 3 cases of sarcoidosis or sarcoid-like reactions in patients with colorectal cancer and highlight the diagnosis process. Results Systemic symptoms observed in patients with sarcoidosis commonly can be masked or mimicked by symptoms related to the malignancy. Moreover, it is important to distinguish between the 2 entities to give patients adequate therapy. 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subjects Biopsy
Biopsy, Fine-Needle
Colorectal carcinoma
Colorectal Neoplasms - complications
Diagnosis
Diagnosis, Differential
Endoscopic ultrasound
Female
Granuloma - pathology
Humans
Internal Medicine
Lung Neoplasms - diagnosis
Lung Neoplasms - etiology
Lymph Nodes - pathology
Male
Middle Aged
Positron-Emission Tomography - methods
Sarcoidosis
Sarcoidosis, Pulmonary - diagnosis
Sarcoidosis, Pulmonary - etiology
title Sarcoidosis Lung Nodules in Colorectal Cancer Follow-Up: Sarcoidosis or Not?
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