Old-scar mass and changing surgical perspective: Sarcoidosis
Recep Aktimur1, Sude Hatun Aktimur2, Elif Çolak1, Ömer Alıcı3, Mehmet Derya Demirağ4
1Clinic of General Surgery, Samsun Training and Research Hospital, Samsun, Turkey
2Clinic of Internal Diseases, Samsun Training and Research Hospital, Samsun, Turkey
3Clinic of Pathology, Samsun Training and Research Hospital, Samsun, Turkey
4Clinic of Internal Diseases, Division of Rheumatology, Samsun Training and Research Hospital, Samsun, Turkey
Abstract
Sarcoidosis is a systemic inflammatory disease of an unknown etiology. Skin is involved in 25% of all cases, and 29% of them present as a scar sarcoidosis. Asymptomatic old-scar masses are generally regarded as a foreign body reaction by surgeons and often result in excisional biopsy. We describe a case of a patient who developed sarcoidosis in a 34-year-old appendectomy scar and adjacent inguinal lymph nodes without any local or systemic symptom and radiologic finding. Surgeons should not underestimate the importance of such lesions as a simple condition. Scar sarcoidosis may resolve spontaneously, or the treatment with some topical agents is effective. Furthermore, scar sarcoidosis may be the initial manifestation of systemic sarcoidosis.
Keywords: Scar, sarcoidosis, mass
Written informed consent was obtained from patient who participated in this case.
Externally peer-reviewed.
Concept - R.A., S.H.A.; Design - M.D.D.; Supervision - M.D.D.; Funding - Ö.A.; Materials - Ö.A.; Data Collection and/or Processing - E.Ç.; Analysis and/or Interpretation - R.A.; Literature Review - R.A.; Writer - R.A.; Critical Review - M.D.D.
No conflict of interest was declared by the authors.
The authors declared that this study has received no financial support.