Zhang Dingshan, Chen Mingtai, Zhou Xin, Xu Yanneng, Zeng Yiwei, Luo Xiaoqin, Liu Ping, Liang Lingling, Qian Yunmei, Luo Gang, Jiang Yan, Liu Mengnan
Department of Cardiovascular Disease, The Affiliated Hospital of Traditional Chinese Medicine, Southwest Medical University, Luzhou, 646000, Sichuan, China.
Department of Cardiovascular Disease, Shenzhen Traditional Chinese Medicine Hospital, Shenzhen, 518033, Guangdong, China.
BMC Pulm Med. 2025 Apr 23;25(1):194. doi: 10.1186/s12890-025-03663-4.
Chest pain is a common symptom with a complex etiology involving multiple organs and systems. Cardiovascular, digestive and respiratory diseases can cause chest pain. A single condition usually reformulates and can cause this symptom, but a combination of conditions can also cause it. This case reports a 69-year-old male suffered from recurrent chest pain. Coronary heart disease, gastroesophageal reflux disease and left lung adenocarcinoma were diagnosed successively for nearly 1 year. The patients focus on one disease, and the medical staff neglects to deal with multiple diseases simultaneously. Ambiguous evidence and patients' unmotivated attitudes towards treatment make early diagnosis of lung cancer difficult. Treatment for coronary heart disease and gastroesophageal reflux disease masks the symptoms of lung cancer to some extent, resulting in a skewed diagnostic focus. This report highlights the need for clinicians to improve communication with patients to enhance treatment adherence and provide comprehensive screening, identification, and treatment of chest pain etiologies to prevent delays in patient treatment. The findings also suggest that awareness of the therapeutic and prognostic impact of interstitial lung disease on lung cancer should be improved, which is essential for the development of clinical treatment protocols.
胸痛是一种常见症状，其病因复杂，涉及多个器官和系统。心血管、消化和呼吸系统疾病均可导致胸痛。单一病症通常会复发并引发此症状，但多种病症共同作用也可能导致胸痛。本病例报告了一名69岁男性反复出现胸痛症状。近1年来先后诊断出冠心病、胃食管反流病和左肺腺癌。患者关注单一疾病，而医护人员忽视了同时应对多种疾病。证据不明确以及患者对治疗缺乏积极性，使得肺癌的早期诊断变得困难。冠心病和胃食管反流病的治疗在一定程度上掩盖了肺癌症状，导致诊断重点出现偏差。本报告强调临床医生需要加强与患者的沟通，以提高治疗依从性，并对胸痛病因进行全面筛查、识别和治疗，以防止患者治疗延误。研究结果还表明，应提高对间质性肺病对肺癌治疗及预后影响的认识，这对于制定临床治疗方案至关重要。
