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Sunday, April 20, 2014
Sarcoidosis and Breast Cancer
My best friend was diagnoses with Sarcoidosis about 4 years ago and the doctors have not been able to control it. She has it in her nose, her lungs, and on her face. Two years ago she was diagnosed with breast cancer and once she was treated it seems like the chemo made the sarcoidosis more agressive. In December a chest Xray revealed lessions in her lungs and an Xray that was done last week showed that there are many more lessions. The doctors aren`t sure if the lungs are infected with the disease or some other form of cancer. Any thoughts on how to help her?
Dear Sir/Madam - It is often difficult to distinguish cancer from sarcoidosis in the lungs based only on the appearance. When multiple lesions or nodules are present in the lungs, the situation becomes even more complicated. Nodules that continue to enlarge despite appropriate therapy for sarcoidosis should be evaluated further. This usually entails a procedure to obtain tissue (biopsy). Your friend is advised to follow closely with the doctors to optimize treatment of her sarcoidosis and to consider the possibility of cancer or other causes of the lung nodules.
Elliott D Crouser, MD
Associate Professor of Pulmonary, Allergy, Critical Care & Sleep Medicine
College of Medicine
The Ohio State University