一名 53 岁女性的腋窝淋巴腺病。

NEJM evidence Pub Date : 2024-08-01 Epub Date: 2024-07-23 DOI:10.1056/EVIDmr2400040
Liem Pham, Javier Gomez Farias, Jennifer Bacci, Asina Wahab, Anish Nihalani
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引用次数: 0

摘要

摘要 "晨间报告 "是一个历史悠久的传统,由受训医师向同事和临床专家介绍病例,共同研究有趣的患者表现。晨间报告 "部分旨在继承这一传统,通过介绍患者的主要问题和故事,邀请读者与病例作者一起进行鉴别诊断并发现诊断结果。本报告探讨了一位 53 岁女性的故事,她有乳腺癌病史,在监测成像中发现腋窝淋巴结异常。通过病史、体格检查和诊断性检查,她的病症脚本浮出水面。在最终确诊之前,对其进行了鉴别诊断并不断完善。
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A 53-Year-Old Woman with Axillary Lymphadenopathy.

AbstractMorning Report is a time-honored tradition where physicians-in-training present cases to their colleagues and clinical experts to collaboratively examine an interesting patient presentation. The Morning Report section seeks to carry on this tradition by presenting a patient's chief concern and story, inviting the reader to develop a differential diagnosis and discover the diagnosis alongside the authors of the case. This report examines the story of a 53-year-old woman with a history of breast cancer who presented with abnormal axillary lymph nodes detected on surveillance imaging. Using history, physical examination, and diagnostic workup, an illness script for her presentation emerges. A differential diagnosis is developed and refined until a final diagnosis is confirmed.

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