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Year : 2015  |  Volume : 5  |  Issue : 1  |  Page : 40

Corticosteroid Responsive Sarcoidosis with Multisystemic Involvement Years after Initial Diagnosis: A Lymphoma Mimicker on 18-FDG PET/CT

1 Department of Radiology, Abant Izzet Baysal University, Training and Research Hospital, Bolu, Turkey
2 Department of Radiology, School of Medicine, Ege University, Izmir, Turkey
3 Department of Nuclear Medicine, Ege Rad Diagnostic Imaging Center, Izmir, Turkey
4 Department of Chest Diseases, School of Medicine, Dokuz Eylül University, Izmir, Turkey

Correspondence Address:
Turker Acar
Department of Radiology, Abant ?zzet Baysal University, Training and Research Hospital, Bolu
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2156-7514.161850

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Sarcoidosis is a chronic multisystemic inflammatory disease characterized by noncaseating epithelioid cell granulomas. 18-Fluorodeoxyglucose positron-emission tomography/computer tomography (FDG-PET/CT) is increasingly used in routine clinical practice to assess active sarcoidosis because it can detect active inflammatory granulomatous disease. However, active sarcoidosis lesions are observed to be hypermetabolic on FDG-PET/CT much like malignancies, which may lead to misinterpretation on imaging. In this case report, we present a rare case of sarcoidosis with multisystem involvement including lung, lymph nodes, bone, pleura, and soft tissue that mimicked lymphoma on FDG-PET/CT and responded to corticosteroid treatment.

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