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背痛何时会致命:肺癌的一种不寻常表现

When Back Pain Turns Deadly: An Unusual Presentation of Lung Cancer.

作者信息

Vasser Melinda, Koroscil Matthew

机构信息

Department of Internal Medicine, Wright-Patterson Medical Center, 4881 Sugar Maple Drive, Wright-Patterson Air Force Base, OH, 45433, United States.

Department of Pulmonary and Critical Care Medicine, Wright-Patterson Medical Center, 4881 Sugar Maple Drive, Wright-Patterson Air Force Base, OH, 45433, United States.

出版信息

Respir Med Case Rep. 2020 Jan 28;29:101009. doi: 10.1016/j.rmcr.2020.101009. eCollection 2020.

Abstract

Back pain is a common presenting concern in physician offices and emergency departments alike, with etiologies ranging from minor injuries to severe life-threatening illnesses. This case details the clinical course of a 68-year-old former smoker with no pulmonary symptoms who presented with back pain multiple times before developing cord compression syndrome and being diagnosed with non-small cell lung cancer (NSCLC). It demonstrates the importance of lung cancer screening and the necessity of monitoring for red flags in cases of back pain.

摘要

背痛是内科诊室和急诊科常见的就诊问题,其病因多种多样,从轻微损伤到严重的危及生命的疾病都有。本病例详细介绍了一名68岁有吸烟史的患者的临床病程,该患者无肺部症状,在出现脊髓压迫综合征并被诊断为非小细胞肺癌(NSCLC)之前曾多次因背痛就诊。它说明了肺癌筛查的重要性以及在背痛病例中监测警示信号的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/209b/6996011/fdffb51db167/gr1.jpg

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