%0 Journal Article
%A Diéguez Castillo, Carmelo
%A Martín-Lagos Maldonado, Alicia
%A Ríos Pelegrina, Rosa María
%A Díaz Alcázar, María Del Mar
%A Roa Colomo, Amparo
%A Ruiz Escolano, Elena
%T Sarcoidosis onset simulating a unique hepatic metastasis.
%D 2018
%@ 1130-0108
%U https://hdl.handle.net/10668/26071
%X Sarcoidosis is a systemic granulomatous disease with an uncertain etiology, characterized by the production of non-necrotizing granulomas. The most frequent presentation is pulmonary and mediastinal, although it might affect any other organ. Hepatic alterations occur in 50 to 65% of the cases. Nevertheless, it is commonly subclinical or detected during a study of the alteration of liver enzymes. It is very unusual that disease onset occurs as an isolated hepatic tumor. A hepatic biopsy is usually required to confirm the diagnosis. A differential diagnosis must be established via any hepatic granulomatous disease, infectious or autoimmune disease as well as the exclusion of malignancy. We present a clinical case of a female diagnosed with an isolated hepatic sarcoidosis that simulated a unique hepatic metastatic lesion. The hepatic biopsy was diagnostic.
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