CONTEXT Symptomatic pancreatic involvement in sarcoidosis is extremely rare. There are 25 reported cases of detected pancreatic sarcoidosis before death. CASE REPORT We report the case of a male patient with a history of pulmonary sarcoidosis, who presented with clinical picture and CT scan findings suggestive of pancreatic cancer. Pancreatic mass biopsy showed lesions consistent with sarcoidosis. Patient had excellent clinical response to steroids. CONCLUSION Pancreatic involvement is usually asymptomatic and discovered on autopsy. However, clinicians should be cognizant that sarcoidosis can present with symptomatic pancreatic mass, albeit rarely.