Splenic Sarcoidosis without an Extrasplenic Lesion That Developed Iridocyclitis Postoperatively
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- Watanabe Yoshifumi
- Department of Surgery, Otemae Hospital
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- Nakaba Hiroyuki
- Department of Surgery, Otemae Hospital
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- Taniguchi Eiji
- Department of Surgery, Otemae Hospital
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- Kikkawa Hiroyuki
- Department of Surgery, Otemae Hospital
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- Tamagawa Hiroshi
- Department of Surgery, Otemae Hospital
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- Sasaki Masaru
- Department of Surgery, Otemae Hospital
Bibliographic Information
- Other Title
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- 術後に眼病変で再発した脾限局性サルコイドーシスの1例
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Abstract
<p>A 74-year-old woman had an intensive examination at a local hospital for lumbago. Multiple lesions were detected in the spleen on CT. Gastrointestinal endoscopy and total colonoscopy showed no abnormal findings, and PET-CT showed abnormal FDG-uptake only in the spleen. These findings were suggestive of malignant lymphoma and the patient was referred to our hospital for histological diagnosis. Laparoscopic splenectomy was performed. Histopathologically, it was characterized by a large number of noncaseating granulomas composed of epithelioid cells and multinucleated giant cells with asteroid bodies, and splenic sarcoidosis was diagnosed. The patient became disease-free but iridocyclitis occurred 3 months after surgery. We diagnosed the recurrence of the sarcoidosis. To the best of our knowledge, splenic sarcoidosis without extrasplenic lesions that recur in other organs postoperatively is rare. Therefore we report our experience with a review of the literature.</p>
Journal
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- The Japanese Journal of Gastroenterological Surgery
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The Japanese Journal of Gastroenterological Surgery 50 (1), 67-72, 2017
The Japanese Society of Gastroenterological Surgery
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Keywords
Details 詳細情報について
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- CRID
- 1390282679899140352
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- NII Article ID
- 130005310347
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- ISSN
- 13489372
- 03869768
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed