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Case Reports
. 2014;158(4):A6441.

[Soft-tissue mass as a rare presentation of sarcoidosis]

[Article in Dutch]
Dieuwertje Ruigrok  1 , Robin Soetekouw, Hein B A C Stockmann, Kees van Krimpen, Ileana Chesaru, Maarten A Sulzer
Affiliations
  • PMID: 24447669
Case Reports

[Soft-tissue mass as a rare presentation of sarcoidosis]

[Article in Dutch]
Dieuwertje Ruigrok et al. Ned Tijdschr Geneeskd. 2014.

Abstract

Background: The most important differential diagnosis of a soft-tissue mass is soft-tissue sarcoma, and the diagnostic process should be aimed at diagnosing or excluding this.

Case description: A 28-year-old man was referred to the surgeon with a progressive painless swelling on the right shoulder. Diagnostic imaging suggested a sarcoma with axillary lymphadenopathy. Repeatedly biopsy revealed a non-necrotizing granulomatous inflammation. A diagnosis of sarcoidosis was finally made, after exclusion of malignancy and infectious causes.

Conclusion: When a patient presents with a soft-tissue mass, malignant causes such as soft-tissue sarcoma should be excluded. If pathological investigation reveals a granulomatous inflammation, a soft-tissue mass as a rare presentation of sarcoidosis should be considered. It is, however, important to first exclude a sarcoid-like reaction.

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