A 52-Year-Old Woman With Persistent Back Pain and Multiple Pulmonary Nodules.

IF 9.5 1区 医学 Q1 CRITICAL CARE MEDICINE Chest Pub Date : 2024-11-01 DOI:10.1016/j.chest.2024.06.3772
Moyan Sun, Abijha Boban, Schaza Rana, Hossny Alaws, Hisham F Qutob
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Abstract

Case presentation: A 52-year-old woman with a history of leiomyoma uteri and tobacco-use disorder in remission presented with 2 months of progressive back pain. Her pain was located between her shoulder blades and was described as constant with intermittent sharp, stabbing sensation. It was nonradiating and aggravated by inspiration. She denied fever, cough, shortness of breath, chest pain, or recent changes in weight or appetite. Two days prior, she was evaluated in the ED for similar symptoms and prescribed naproxen and cyclobenzaprine for suspected musculoskeletal pain. However, she received minimal relief, which prompted her visit. She underwent a total hysterectomy 13 years ago for benign uterine fibroid tumors. She had a 15-pack-year history but quit smoking 3 years ago. Family history was notable for colon and pancreatic cancer in her father and breast cancer in her maternal aunt.

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一名 52 岁女性,患有持续性背痛和多发性肺结节。
病例介绍:一名 52 岁的妇女,曾患子宫良性肌瘤和烟草使用障碍,病情缓解后,出现持续性背部疼痛 2 个月。她的疼痛位于肩胛骨之间,被描述为持续性疼痛,间歇性尖锐刺痛感。疼痛无放射,吸气时加重。她否认发烧、咳嗽、气短、胸痛,也否认最近体重或食欲有变化。两天前,她因类似症状在急诊室接受了评估,并被开具了萘普生和环苯扎林治疗疑似肌肉骨骼疼痛。然而,她的症状得到的缓解微乎其微,这才导致了她的就诊。13 年前,她因良性子宫肌瘤接受了全子宫切除术。她有 15 年吸烟史,但 3 年前已经戒烟。家族史中,她的父亲患有结肠癌和胰腺癌,她的姨妈患有乳腺癌。
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来源期刊
Chest
Chest 医学-呼吸系统
CiteScore
13.70
自引率
3.10%
发文量
3369
审稿时长
15 days
期刊介绍: At CHEST, our mission is to revolutionize patient care through the collaboration of multidisciplinary clinicians in the fields of pulmonary, critical care, and sleep medicine. We achieve this by publishing cutting-edge clinical research that addresses current challenges and brings forth future advancements. To enhance understanding in a rapidly evolving field, CHEST also features review articles, commentaries, and facilitates discussions on emerging controversies. We place great emphasis on scientific rigor, employing a rigorous peer review process, and ensuring all accepted content is published online within two weeks.
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