RT Journal Article
SR Electronic
T1 Diffuse Sarcoidosis Presenting as Metastatic Malignant Disease-Like Picture: A Case Report
JF International Journal of Spine Surgery
JO Int J Spine Surg
FD International Society for the Advancement of Spine Surgery
SP 661
OP 669
DO 10.14444/8523
VO 17
IS 5
A1 Ahmad Alelaumi
A1 Mohammad Alfawareh
A1 Ismail Althunibat
A1 Akram Al-Ibraheem
A1 Fareed Barakat
YR 2023
UL http://ijssurgery.com//content/17/5/661.abstract
AB Background Sarcoidosis is a chronic inflammatory condition characterized by the formation of granulomas, which can impact various organs and tissues throughout the body. It frequently affects the lungs and mediastinal lymph nodes. The presence of multiple lytic lesions in the spine can be concerning, as it may indicate an undiagnosed or advanced metastatic malignancy. We present an unusual and interesting case of sarcoidosis in which the patient had multiple lytic lesions in the vertebrae, which resembled the presentation of metastatic malignant disease.Case Description A 46-year-old woman with no known medical history presented to our cancer center complaining of neck pain and bilateral shoulder pain. After conducting extensive investigations, an atypical manifestation of sarcoidosis was identified. The patient was administered corticosteroids, which effectively managed the disease and resulted in a substantial improvement in her symptoms.Conclusions Before considering surgical intervention or radiotherapy for cases involving multiple lytic lesions in the spine with an unknown primary cause, it is essential to conduct a comprehensive diagnostic evaluation. This thorough work-up is necessary to establish a clear diagnosis. If the patient’s neurological condition permits, a complete assessment can help prevent substantial morbidity. In certain cases, a patient’s condition may involve an atypical manifestation of pathologies that are not related to metastatic diseases, suggesting that simpler treatment approaches might be adequate.