A Case of Pancreatic Cancer with Multiple Lymph Node Swelling Caused by Sarcoidosis

Tadahiro Goto, Hirochika Toyama, Sadaki Asari, Sachio Terai, Hideyo Mukubou, Sachiyo Shirakawa, Yoshihide Nanno, Takuya Mizumoto, Hisoka Kinoshita, Motofumi Tanaka, Masahiro Kido, Tetsuo Ajiki, Takumi Fukumoto, Yonson Ku

Research output: Contribution to journalArticlepeer-review


A 69-year-old woman who was identified the tumor of the pancreas tail by CT scan for postoperative inspection of breast cancer. Pancreas tail cancer with para-aortic lymph node metastases was diagnosed by close inspection. She consulted a different hospital to receive their second opinion. She was diagnosed of sarcoidosis from points with lymphadenopathy in hilar region and para-aorta for 3 years and uveitis. The patient was referred to our institution for treatment. We performed distal pancreatectomy in March, 2014. No.16 lymph nodes were cancer-negative, but lymph nodes around the pancreas were cancer positive. Abdominal CT, 9 months after surgery, showed lymph node swelling. We recommended a definitive diagnosis by EUS-FNA, but she refused the inspection. She was checked by CT scan regularly afterwards and is alive without recurrence 39 months after the operation. Diagnosis for lymph node metastases is difficult for a malignant tumor when the sarcoidosis coexisted.

Original languageEnglish
Pages (from-to)1886-1888
Number of pages3
JournalGan to kagaku ryoho. Cancer & chemotherapy
Issue number12
Publication statusPublished - 01-11-2017

All Science Journal Classification (ASJC) codes

  • Oncology
  • Cancer Research


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