Gastric sarcoidosis - A single polypoid appearance in the involvement

We describe a case of gastric sarcoidosis which developed during a 10-year period of observation of generalized sarcoidosis. The patient was asymptoma tic, but gastroduodenoscopy revealed a polypoid lesion in the antral region . The specimen obtained by polypectomy showed noncaseating granuloma, sugge sting sarcoidosis. Chest radiograph and computed tomographic examination re vealed no involvement of the lung or mediastinal lymph nodes, although thes e findings were present at the initial diagnosis. The present case indicate s that gastric involvement should be considered in patients with sarcoidosi s, even when no hilar lymphadenopathy is present. Furthermore, the macrosco pic appearance of a single polyp in gastric sarcoidosis is extremely rare i n gastric sarcoidosis in the literature.