Steinfeld A D, Speyer J
Division of Radiation Oncology, NYU Medical Center, New York.
Chest. 1993 Mar;103(3):970-1. doi: 10.1378/chest.103.3.970.
A 68-year-old woman was found to have synchronous soft-tissue sarcoma of the anterior chest wall and adenocarcinoma of the breast. During her initial interview, she denied prior radiation therapy. On further questioning, it was learned that the patient had been treated for tuberculosis, as a young woman, by the induction of a pneumothorax that was monitored by repeated chest fluoroscopies. Biologically important doses of ionizing radiation can be given as an incidental part of a variety of medical treatments. The importance of searching for atypical radiation exposures, particularly in patients with unusual tumor presentations, is stressed.
一名68岁女性被发现同时患有前胸壁软组织肉瘤和乳腺癌。在初次问诊时，她否认既往接受过放射治疗。进一步询问得知，该患者年轻时曾因气胸接受过治疗，通过反复胸部荧光透视进行监测，当时诊断为肺结核。具有生物学意义的电离辐射剂量可能作为各种医学治疗的附带部分给予。强调了寻找非典型辐射暴露的重要性，特别是在肿瘤表现不寻常的患者中。
