Misdiagnosis of sarcoidosis and treatment of lymphoma 1 case.doc

 PAGE \* MERGEFORMAT 8 Misdiagnosis of sarcoidosis and treatment of lymphoma 1 case [Keywords:] Sarcoidosis Sarcoidosis is an unknown cause of non-caseating epithelioid cell granulomatous disease, may be violations of body organs, in particular, a good violation of the chest organs (lung, thoracic lymph nodes), pathological features of non-caseating epithelioid cell granuloma by physical examination found that about 40.9% associated with symptoms, in addition to respiratory symptoms things (such as cough, chest tightness, fever, chest pain, sputum blood, etc.), some patients may be associated with extrapulmonary manifestations (such as joint pain, difficulty swallowing, facial paralysis , rash, superficial lymph node enlargement, etc.) that the recent reported incidence increased year by year. Can be violated because of its various organs, non-specific clinical manifestations, X-ray easy with the central-type lung cancer, hilar lymph node tuberculosis, lymphoma and other confusion, easily lead to misdiagnosis and mistreatment. I will be one cases of sarcoidosis misdiagnosed as lymphoma, case report. A clinical data Patients, male, 49 years old. No obvious incentive to cough, intermittent seizures of more than half a year, in August 2004 come to my hospital treatment. Patients with no fever, expectoration, hemoptysis and other symptoms. Examination: general, good, no skin, erythema, right axillary palpable size of 0.5cm * 0.5cm, 1.0cm * 1.0cm in two lymph nodes. Bilateral groin can also reach the size of about 0.5cm * 0.5cm of swollen lymph nodes, heart and lung auscultation, no abnormal liver and spleen are not touched. Are lateral chest X-ray films and CT showed lung door, mediastinal lymph nodes, to consider lymphoma. An initial diagnosis of mediastinal lymphoma. B ultrasonography and abdominal CT showed no abnormalities. According to mediastinal lymph node lesions in the pre-line radiotherapy. 1 week Hou Hang radiation therapy targeting CT showed multipl