Department of Pulmonary and Critical Care, Albany Medical Center, Albany, NY.
Department of Pathology, Albany Medical Center, Albany, NY.
Chest. 2021 Mar;159(3):e147-e150. doi: 10.1016/j.chest.2020.09.264.
A 69-year-old woman with a medical history significant for COPD, ulcerative colitis (UC), and tobacco dependence was referred to a pulmonologist for lung nodules found on routine annual low-dose CT scan for lung cancer screening. Her review of systems was negative for dyspnea, angina, hemoptysis, fever, night sweats, anorexia, and weight loss. She had a successful total proctocolectomy with ileal pouch-anal anastomosis performed 5 years ago because of acute fulminant UC refractory to corticosteroids and biologic agents. Her home medications were albuterol inhaler, umeclidinium, and vilanterol inhalation powder. She denied any history of lung cancers in her family. She was an active smoker and had a 35-pack-year smoking history. She worked as a cashier in a local supermarket and had been doing so for the past 25 years.
一位 69 岁的女性，既往患有 COPD、溃疡性结肠炎（UC）和烟草依赖。因常规年度低剂量 CT 扫描筛查肺癌时发现肺部结节，被转介至肺科医生处。她的系统回顾无呼吸困难、心绞痛、咯血、发热、盗汗、厌食和体重减轻的症状。5 年前，她因急性暴发性 UC 对皮质类固醇和生物制剂难治，接受了成功的全直肠结肠切除术和回肠袋肛管吻合术。她目前的药物治疗包括沙丁胺醇吸入剂、乌美溴铵和维兰特罗吸入粉。她否认家族中有肺癌病史。她是一名活跃的吸烟者，有 35 包/年的吸烟史。她在当地一家超市当收银员，已经做了 25 年。
