Mediastinal sarcoid-like reaction after colon adenocarcinoma resection. (January 2015)

• Record Type: Journal Article
• Authors: Fiorelli, Alfonso; Accardo, Marina; Orditura, Michele; Santini, Mario
• Is Part Of: Asian cardiovascular & thoracic annals. Volume 23:Number 1(2015)
• Page Start: 82
• Page End: 84
• Publication Date: 2015-01
• Subjects: Chemotherapy -- adjuvant -- Tomography -- X-ray computed -- Fluorodeoxyglucose F18 -- Lymph nodes -- Sarcoidosis -- Positron-emission tomography; Heart -- Diseases -- Asia -- Periodicals; Heart -- Diseases -- Pacific Area -- Periodicals; Heart -- Diseases -- Periodicals; Heart -- Surgery -- Asia -- Periodicals; Heart -- Surgery -- Pacific Area -- Periodicals; Heart -- Surgery -- Periodicals; Chest -- Surgery -- Asia -- Periodicals; Chest -- Surgery -- Pacific Area -- Periodicals; Chest -- Surgery -- Periodicals; 617.412
• DOI: 10.1177/0218492313519805
• Languages: English
• ISSNs: 0218-4923

Abstract

We report a rare case of mediastinal sarcoid-like reaction presenting 5 years after colon adenocarcinoma resection. The lack of clinical and biochemical features suggestive of sarcoidosis and the high 18 F-fluorodeoxyglucose uptake in mediastinal adenopathy, not seen previously, led us to suspect cancer recurrence. Pathological diagnosis obtained with a thoracoscopic biopsy confirmed sarcoidosis. Mediastinal adenopathies need to be confirmed pathologically to avoid potential interpretative pitfalls leading to toxic overtreatment.