Curious Case of Unexplained Dyspnea With Malignancy

Srinadh Annangi; Daniel Snyder; Kevin Smith

doi:10.1016/j.chest.2020.03.077

Curious Case of Unexplained Dyspnea With Malignancy

Chest. 2020 Nov;158(5):e251-e255. doi: 10.1016/j.chest.2020.03.077.

Authors

Srinadh Annangi¹, Daniel Snyder², Kevin Smith³

Affiliations

¹ Department of Internal Medicine, Division of Pulmonary and Critical Care Medicine, University of Kentucky College of Medicine, Lexington, KY.
² Department of Pathology and Laboratory Medicine, University of Kentucky College of Medicine, Lexington, KY.
³ Department of Internal Medicine, Division of Pulmonary and Critical Care Medicine, University of Kentucky College of Medicine, Lexington, KY. Electronic address: kevinhsmith2@uky.edu.

PMID: 33160547
DOI: 10.1016/j.chest.2020.03.077

Abstract

A 48-year-old female never smoker with hypothyroidism and no significant prior respiratory complaints presented with 1 month of gradually worsening dyspnea on exertion. She denied any associated fevers, chills, weight loss, chest pain, productive cough, hemoptysis, or sick contacts. She was recently diagnosed with stage IV triple negative adenocarcinoma of the breast and was yet to receive chemotherapy.

Publication types

Case Reports

MeSH terms

Cardiac Catheterization / methods
Chest Pain / diagnosis
Chest Pain / etiology
Diagnosis, Differential
Dyspnea / diagnosis
Dyspnea / etiology
Female
Heart Atria / diagnostic imaging
Heart Atria / pathology
Humans
Microvessels / pathology
Middle Aged
Neoplastic Cells, Circulating / pathology*
Patient Care Management / methods
Pulmonary Circulation*
Tomography, X-Ray Computed / methods
Triple Negative Breast Neoplasms* / complications
Triple Negative Breast Neoplasms* / pathology
Triple Negative Breast Neoplasms* / therapy