A Case Report of Pancreatic Sarcoidosis Diagnosed by Surgical Resection

Key Points

• To present a case of pancreatic sarcoidosis diagnosed through surgical resection and highlight its rarity.
• Patient was a 73-year-old male with incidental pancreas tumor found during gastrointestinal examination.
• Imaging studies including abdominal CT and MRI were conducted to assess the pancreatic mass.
• EUS-FNB was performed to evaluate the nature of the tumor, which yielded non-malignant results.
• Surgical procedures included distal pancreatectomy for the tumor and local resection of the stomach due to gastric cancer.
• Pathological examination confirmed non-caseating granulomas, leading to a diagnosis of pancreatic sarcoidosis.
• The case highlights the challenge of preoperatively diagnosing pancreatic sarcoidosis due to its similarity to pancreatic cancer.
• Had the diagnosis been established preoperatively, surgery for the pancreatic mass could have been avoided.