Korean J Gastrointest Endosc > Volume 40(6); 2010 > Article
Korean Journal of Gastrointestinal Endoscopy 2010;40(6): 374-377.
조기위암과 동반된 사르코이드증 1예
이경훈ㆍ김경오ㆍ김유진ㆍ이재형ㆍ손광표ㆍ허경림ㆍ박철희ㆍ김종혁
한림대학교 의과대학 내과학교실
Systemic Sarcoidosis Associated with Early Gastric Cancer
Kyung-Hun Lee, M.D., Kyoung-Oh Kim, M.D., Yu Jin Kim, M.D., Jae Hyung Lee, M.D., Kwang Pyo Son, M.D.,Kyung Rim Huh, M.D., Cheol Hee Park, M.D. and Jong Hyeok Kim, M.D.
Department of Internal Medicine, Hallym University College of Medicine, Anyang, Korea
Abstract
For a potentially malignant lymphadenopathy, it is clinically important to distinguish between metastasis of a primary tumor and a benign lesion such as systemic sarcoidosis or sarcoid reaction. We describe here a case of systemic sarcoidosis that was associated with early gastric cancer. A patient was found to have early gastric cancer (EGC) during routine clinical examination. The chest radiography demonstrated bilateral hilar lymphadenopathy and further examination showed that he had multiple lymphadenopathies. We diagnosed systemic sarcoidosis with EGC because of the elevated serum ACE-I, the chest CT findings and the pathological analysis. We performed endoscopic submucosal dissection (ESD) for EGC, and there was no local recurrence and distant metastasis for eighteen months. These findings suggest that the possibility of systemic sarcoidosis should be considered in cases with established malignancy and multiple lymphadenopathies. (Korean J Gastrointest Endosc 2010;40:374-377)
Key Words: Gastric cancer, Sarcoidosis, Endoscopic submucosal dissection
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