Sarcoidosis Presenting as Endobronchial Mass: Report of Two Cases

Sarcoidosis is a multi-system disorder with an unknown etiology, mostly affecting the lungs and lymph nodes. Lung involvement is mostly seen as parenchymal disease, while an endobronchial mass lesion is rarely seen. In this study, two cases with bilateral hilar enlargement on X-ray and mediasti-nal lymphadenopathy, bilateral milimetric paren-chymal nodules and atelectasis on thoracic computed tomography were presented, which an endobronchial mass lesion was seen during bronchoscopy. The lesion was diagnosed as sarcoidosis after histopathological examination. Both were followed with no medication. Cases with complete clinical resolution have been reported in the literature. We present these two cases of endobronchial sarcoidosis to highlight, that sarcoidosis should be kept in mind in the differential diagnosis of endobronchial mass lesions.

Endobronþiyal Kitle ile Seyreden Sarkoidoz: Ýki Olgu Sunumu

Sarkoidoz en sýk akciðerler ve lenf nodlarýný tutan, nedeni bilinmeyen ve multisistemik bir hastalýktýr. Sarkoidozda akciðer tutulumu sýklýkla parankimal hastalýk þeklindeyken, nadiren endobronþiyal kitle þeklinde tutulum görülebilir. Çalýþmamýzda, akciðer grafisinde bilateral hiler dolgunluk ve toraks bilgisayarlý tomografide mediastende multipl lenfadenopati ve subsegmental atelektazi nedeniyle bronkoskopi yapýlan, bronkoskopide endobronþiyal lezyon görülüp sarkoidoz tanýsý konan iki olguyu sunduk. Her iki olgu da ilaçsýz takibe alýndý. Literatürde de tedavisiz düzelen olgular bildirilmiþtir. Endobronþiyal tutulum gözlenen iki sarkoidoz olgusunu endobronþiyal kitle lezyonlarýn ayýrýcý tanýsýnda sarkoidozu vurgulamak için sunduk.