Korean J Gastrointest Endosc > Volume 40(6); 2010 > Article
Korean Journal of Gastrointestinal Endoscopy 2010;40(6): 374-377.
조기위암과 동반된 사르코이드증 1예
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
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
PDF Links  PDF Links
Full text via DOI  Full text via DOI
Download Citation  Download Citation
Related articles
Endoscopic Factors that Can Predict Histological Ulcerations in Early Gastric Cancers  2020 May;53(3)
Strategies to Overcome Risks Associated with Endoscopic Biliary Stenting  2019 November;52(6)
A Rare Case of Lymph Node Metastasis from Early Gastric Cancer  2019 July;52(4)
Improving the Endoscopic Detection Rate in Patients with Early Gastric Cancer  2015 July;48(4)
Systemic Amyloidosis Manifested by Gastric Outlet Obstruction  2013 September;46(5)
Editorial Office
Korean Society of Gastrointestinal Endoscopy
#817, 156 Yanghwa-ro (LG Palace, Donggyo-dong), Mapo-gu, Seoul, 04050, Korea
TEL: +82-2-335-1552   FAX: +82-2-335-2690    E-mail: CE@gie.or.kr
Copyright © Korean Society of Gastrointestinal Endoscopy.                 Developed in M2PI
Close layer