종양으로 오인될 수 있는 결절성 근육 유육종증 1예

A Case of Nodular Muscular Sarcoidosis Mimicking a Tumor

  • Ahn, Se-Han (Department of Internal Medicine, Korea Cancer Center Hospital) ;
  • Kim, Min-Su (Department of Internal Medicine, Korea Cancer Center Hospital) ;
  • Han, Min-Sung (Department of Internal Medicine, Korea Cancer Center Hospital) ;
  • Yoon, Jung-Ho (Department of Internal Medicine, Korea Cancer Center Hospital) ;
  • Kook, Eun-Hee (Department of Internal Medicine, Korea Cancer Center Hospital) ;
  • Jeon, Se-Yong (Department of Internal Medicine, Korea Cancer Center Hospital) ;
  • Kim, Cheol-Hyeon (Department of Internal Medicine, Korea Cancer Center Hospital)
  • 발행 : 2011.02.01

초록

The nodular form of muscular sarcoidosis is a rare malady that is often confused with a soft-tissue neoplasm or other lesion. Here, we present a case of nodular muscular sarcoidosis in the arms and legs of a 59-year-old woman. She presented at our hospital with a painless nodule in her left arm. Excision was performed and she was diagnosed with sarcoidosis. One year later, nodular sarcoidosis recurred in her arms and legs. After 2 months of steroid medication, the nodules disappeared. The patient has been followed for 2 years and no evidence of recurrence has been observed. We report here the case of a woman with recurrent nodular muscular sarcoidosis who was treated with steroids. Physicians should consider this unusual presentation of sarcoidosis and its responsiveness to steroid treatment when managing sarcoidosis patients.

키워드

참고문헌

  1. Silverstein A, Siltzbach LE. Muscle involvement in sarcoidosis: asymptomatic, myositis, and myopathy. Arch Neurol 1969;21:235-241. https://doi.org/10.1001/archneur.1969.00480150025002
  2. Prayson RA. Granulomatous myositis: clinicopathologic study of 12 cases. Am J Clin Pathol 1999;112:63-68. https://doi.org/10.1093/ajcp/112.1.63
  3. Zisman DA, Biermann JS, Martinez FJ, Devaney KO, Lynch JP 3rd. Sarcoidosis presenting as a tumor like muscular lesion. Case report and review of the literature. Medicine 1999;78:112-122. https://doi.org/10.1097/00005792-199903000-00002
  4. Cameron HU. Symmetrical muscle contractures in tumorous sarcoidosis: report of a case. Clin Orthop Relat Res 1981;155: 108-110.
  5. Guo M, Lemos L, Baliga M. Nodular sarcoid myositis of skeletal muscle diagnosed by fine needle aspiration biopsy: a case report. Acta cytol 1999;43:1171-1176. https://doi.org/10.1159/000331375
  6. Guis S, Mattei JP, Liote F. Drug-induced and toxic myopathies. Best Pract Res Clin Rheumatol 2003;17:877-907. https://doi.org/10.1016/j.berh.2003.11.002
  7. Tambouret R, Geisinger KR, Powers CN, et al. The clinical application and cost analysis of fine-needle aspiration biopsy in the diagnosis of mass lesions in sarcoidosis. Chest 2000;117:1004-1011. https://doi.org/10.1378/chest.117.4.1004
  8. Seve P, Zenone T, Durieu I, Pillon D, Durand DV. Muscular sarcoidosis: apropos of a case. Rev Med Interne 1997;18:984-988. https://doi.org/10.1016/S0248-8663(97)80120-8
  9. Fayad F, Liote F, Berenbaum F, Orcel P, Bardin T. Muscle involvement in sarcoidosis: a retrospective and followup studies. J Rheumatol 2006;33:98-103.
  10. Walter MC, Lochmuller H, Schlotter-Weigel B, Meindl T, Muller-Felber W. Successful treatment of muscle sarcoidosis with thalidomide. Acta Myol 2003;22:22-25.