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10.1136/bcr-2013-009118

http://scihub22266oqcxt.onion/10.1136/bcr-2013-009118
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C3702818!3702818!23784760
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suck abstract from ncbi


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pmid23784760      BMJ+Case+Rep 2013 ; 2013 (ä): ä
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  • Sarcoidosis of the pancreas mimicking adenocarcinoma #MMPMID23784760
  • Mayne AIW; Ahmad J; Loughrey M; Taylor MA
  • BMJ Case Rep 2013[]; 2013 (ä): ä PMID23784760show ga
  • Primary sarcoidosis of the pancreas is extremely rare. Clinical presentation is often identical to that of pancreatic adenocarcinoma. Preoperative diagnosis of primary pancreatic sarcoidosis is always challenging. We present a 52-year-old man who developed weight loss and obstructive jaundice. Abdomino-pelvic CT scan showed a mass in the pancreatic head. After  hepatopancreaticobiliary MDT discussion, a Whipple's procedure was attempted but the mass was deemed unresectable due to invasion of the superior mesenteric vein. Upon completion of palliative chemotherapy, repeat imaging showed significant mass shrinkage. A reattempt Whipple's procedure was successfully undertaken. Histology showed changes of chronic pancreatitis and peripancreatic granulomatous inflammation with no evidence of malignancy and a diagnosis of sarcoidosis was made. Owing to the devastating nature of pancreatic adenocarcinoma, any mass in the pancreas must be thoroughly investigated before a definitive diagnosis is made.
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