The diagnostic challenge of mediastinal sarcoidosis accompanying esophageal cancer
1 Department of General Surgery, Heinrich Heine University, Moorenstrasse 5, 40225 Duesseldorf, Germany
2 Department of Surgery, Technische Universitaet Muenchen, Ismaninger Straße 22, 81675 Munich, Germany
World Journal of Surgical Oncology 2010, 8:15 doi:10.1186/1477-7819-8-15Published: 12 March 2010
The primary staging of an oesophageal cancer can be difficult, if accompanied by sarcoidosis. In these patients endosonography, CT and PET may not be sufficient for staging purposes concerning lymph node and distant metastases. In these special cases operative biopsies of enlarged lymph nodes and unclear pulmonary nodules have to be obtained. In connection with the radiographic examinations the histopathological results of the biopsies contribute to further precise staging and help to decide on a curative versus a palliative therapy concept.