She had a history of breast cancer with an operation eight months previously. Laboratory data were unremarkable. A tuberclin test was negative. Conventional X-ray showed no tumor or calcification. These findings were compatible with sarcoidosis.
Sarcoidosis is a systemic disease that causes inflammatory granulomas in various organs and tissues.
Muscular involvement, however, is rare and occurs in two forms, i.e. nodular and myopathic. In the nodular variety, patients have single or multiple nodules in the skeletal muscles. In this case, these sarcoidosis-specific findings were obtained. Medical Oncology Image Database Cover illustrations of JJCO published from Vol. 27 No. 1 onwards are case images chosen by the reference data base study group of the National Cancer Information Committee.