Sarcoidosis with Splenic Involvement Diagnosed with Endoscopic Ultrasound-guided Fine-needle Aspiration

Splenic sarcoidosis is often diagnosed by splenectomy or an ultrasound-guided splenic biopsy. However, splenectomy is invasive and costly, and a percutaneous biopsy is sometimes difficult. We herein report a case of splenic sarcoidosis diagnosed with endoscopic ultrasound-guided fine-needle aspirati...

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Bibliographic Details
Published in:Internal Medicine 2020/08/15, Vol.59(16), pp.2077-2081
Main Authors: Matsuzawa, Hisanori, Goto, Takashi, Ohshima, Shigetoshi, Shibuya, Tomomi, Sato, Wataru, Chiba, Mitsuru, Takahashi, Kenichi, Minami, Shinichiro, Iijima, Katsunori
Format: Article
Language:English
Subjects:
Aged
Biopsy
Bronchoscopy
Bronchoscopy - methods
Case Report
Case reports
Computed tomography
Diagnosis
endoscopic ultrasound-guided fine needle aspiration
Endoscopic Ultrasound-Guided Fine Needle Aspiration - methods
Endoscopy
Humans
Internal medicine
Lesions
Male
Sarcoidosis
Sarcoidosis - diagnosis
Sarcoidosis - pathology
Spleen
Splenectomy
Splenic Diseases - diagnosis
Splenic Diseases - pathology
splenic sarcoidosis
Ultrasonic imaging
Ultrasound
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Summary:Splenic sarcoidosis is often diagnosed by splenectomy or an ultrasound-guided splenic biopsy. However, splenectomy is invasive and costly, and a percutaneous biopsy is sometimes difficult. We herein report a case of splenic sarcoidosis diagnosed with endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA). A 71-year-old man was referred to our hospital for abnormal shadows on a chest roentgenogram. Computed tomography showed multiple lesions in the spleen and pulmonary consolidations. Bronchoscopy revealed no definitive diagnosis. We therefore performed EUS-FNA for a splenic lesion that led to the diagnosis. This case suggests that EUS-FNA is useful in confirming the diagnosis of sarcoidosis with suspected splenic lesions.
ISSN:0918-2918
1349-7235
DOI:10.2169/internalmedicine.4512-20