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Gastric involvement of sarcoidosis in a patient with multiple lung nodules.

Ceylan E, Şen S, Coşkun A, Meteoğlu İ, Demirtaş N, Çildağ O - J Res Med Sci (2015)

Bottom Line: The gastric involvement is rare and the symptoms may be non-specific.Positron emission tomography/CT showed lung nodules and gastric involvement with mesenteric lymphadenomegalies with pathological uptake of 18F-fluoro-2-deoxy-d-glucose.Pathological examination of the lung biopsy taken by thoracotomy demonstrated non-caseating granulomas.

View Article: PubMed Central - PubMed

Affiliation: Department of Pulmonary Medicine, Adnan Menderes University, Aydin, Turkey.

ABSTRACT
Sarcoidosis is a granulomatous disorder mostly could involve intrathoracic structures. The gastric involvement is rare and the symptoms may be non-specific. We herein report a case of a 56-year-old female patient who was admitted due to chest tightness and discomfort. Computed tomography (CT) of the thorax revealed bilaterally nodular lesions in the lower lobes of the lung and pleural effusion on the left side. Positron emission tomography/CT showed lung nodules and gastric involvement with mesenteric lymphadenomegalies with pathological uptake of 18F-fluoro-2-deoxy-d-glucose. Pathological examination of the lung biopsy taken by thoracotomy demonstrated non-caseating granulomas. The gastric biopsies taken by endoscopy also showed non-caseating granulomas consistent with a diagnosis of sarcoidosis.

No MeSH data available.


Related in: MedlinePlus

The image of positron emission tomography/computed tomography with involvement of pathological uptake of 18F-fluoro-2-deoxy-d-glucose of the stomach and mesenteric lymphadenopathies
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Figure 4: The image of positron emission tomography/computed tomography with involvement of pathological uptake of 18F-fluoro-2-deoxy-d-glucose of the stomach and mesenteric lymphadenopathies

Mentions: Due to suspicion of malignancy for pulmonary nodules, we performed 18F-FDG PET/CT that it is revealed multiple nodules of different size bilaterally in the lower lobes. The nodules showed pathological uptake of 18F-fluoro-2-deoxy-d-glucose (18F-FDG) (The SUV of the larger nodule which is 1.5 cm diameter was 5.5). Multiple mesenteric lymphadenomegaly which are different sizes from the coeliac area, peripancreatic area to the iliac bifurcation were detected with pathological uptake of 18F-FDG (maximum SUVs were 6.6). Figure 4 showed 18F-FDG PET/CT sections which demonstrate pathological uptake of 18F-FDG of the stomach and mesenteric lymphadenopathies.


Gastric involvement of sarcoidosis in a patient with multiple lung nodules.

Ceylan E, Şen S, Coşkun A, Meteoğlu İ, Demirtaş N, Çildağ O - J Res Med Sci (2015)

The image of positron emission tomography/computed tomography with involvement of pathological uptake of 18F-fluoro-2-deoxy-d-glucose of the stomach and mesenteric lymphadenopathies
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4590208&req=5

Figure 4: The image of positron emission tomography/computed tomography with involvement of pathological uptake of 18F-fluoro-2-deoxy-d-glucose of the stomach and mesenteric lymphadenopathies
Mentions: Due to suspicion of malignancy for pulmonary nodules, we performed 18F-FDG PET/CT that it is revealed multiple nodules of different size bilaterally in the lower lobes. The nodules showed pathological uptake of 18F-fluoro-2-deoxy-d-glucose (18F-FDG) (The SUV of the larger nodule which is 1.5 cm diameter was 5.5). Multiple mesenteric lymphadenomegaly which are different sizes from the coeliac area, peripancreatic area to the iliac bifurcation were detected with pathological uptake of 18F-FDG (maximum SUVs were 6.6). Figure 4 showed 18F-FDG PET/CT sections which demonstrate pathological uptake of 18F-FDG of the stomach and mesenteric lymphadenopathies.

Bottom Line: The gastric involvement is rare and the symptoms may be non-specific.Positron emission tomography/CT showed lung nodules and gastric involvement with mesenteric lymphadenomegalies with pathological uptake of 18F-fluoro-2-deoxy-d-glucose.Pathological examination of the lung biopsy taken by thoracotomy demonstrated non-caseating granulomas.

View Article: PubMed Central - PubMed

Affiliation: Department of Pulmonary Medicine, Adnan Menderes University, Aydin, Turkey.

ABSTRACT
Sarcoidosis is a granulomatous disorder mostly could involve intrathoracic structures. The gastric involvement is rare and the symptoms may be non-specific. We herein report a case of a 56-year-old female patient who was admitted due to chest tightness and discomfort. Computed tomography (CT) of the thorax revealed bilaterally nodular lesions in the lower lobes of the lung and pleural effusion on the left side. Positron emission tomography/CT showed lung nodules and gastric involvement with mesenteric lymphadenomegalies with pathological uptake of 18F-fluoro-2-deoxy-d-glucose. Pathological examination of the lung biopsy taken by thoracotomy demonstrated non-caseating granulomas. The gastric biopsies taken by endoscopy also showed non-caseating granulomas consistent with a diagnosis of sarcoidosis.

No MeSH data available.


Related in: MedlinePlus