Division of Pulmonary, Critical Care and Sleep Medicine, University of Florida, Gainesville, FL.
Division of Pulmonary, Critical Care and Sleep Medicine, University of Florida, Gainesville, FL.
Chest. 2021 Jun;159(6):e381-e384. doi: 10.1016/j.chest.2021.01.005.
A 44-year-old woman with a history of renal cell carcinoma and thyroid cancer was referred to our institution for evaluation of cystic lung disease. She was an active smoker with a 15-pack-year of tobacco use. Two years before her presentation, she underwent a left nephrectomy for renal cell carcinoma, clear cell type. Four months before, she had a total thyroidectomy that showed nodules consistent with noninvasive follicular thyroid neoplasm with papillary like nuclear features. She had no previous pulmonary complaints. Her family history was positive for breast cancer in her grandmother. There was no family history of pneumothorax. She complained of mild shortness of breath with exertion and occasional nonproductive cough. As part of her oncologic work up, she underwent a chest CT scan of the lungs (Fig 1).
一位 44 岁的女性，既往有肾细胞癌和甲状腺癌病史，因囊性肺病到我院就诊。她是一名活跃的吸烟者，吸烟 15 包/年。在就诊前两年，她因左肾透明细胞癌行左肾切除术。四个月前，她行甲状腺全切术，术后病理提示非侵袭性滤泡性甲状腺肿瘤伴乳头状核特征的结节。她既往无肺部不适。其祖母有乳腺癌家族史。无气胸家族史。她诉活动后轻度呼吸困难，偶有干咳，无痰。作为肿瘤学检查的一部分，她进行了胸部 CT 扫描（图 1）。
