Multiple lung nodules in a woman with a history of melanoma.
A 61-year-old Caucasian female presented with a 6-week history of dry persistent cough. She had no shortness of breath, chest pain, fever, chills, or weight loss. She had been diagnosed with melanoma on the left thigh 6 months earlier. It was a spindle cell variant, Clark's grade III, with maximal thickness of 0.5 mm. At the time of diagnosis of melanoma, there was no evidence of metastasis on chest radiographs or computed tomography (CT) of the abdomen and pelvis. Treatment of her melanoma was limited to surgical excision with no subsequent radiation or chemotherapy. Other significant past medical history included hypertension, hypothyroidism, and bilateral breast augmentation. She had a 40 pack-year history of smoking.
Taylor
Jennifer L
JL
Department of Internal Medicine, Division of Pulmonary and Critical Care, Duke University Medical Center, Durham, N.C., USA. taylo050@mc.duke.edu
Quiñones Maymí
Desirée M
DM
Sporn
Thomas A
TA
McAdam
H Page
HP
Wahidi
Momen M
MM
D015897:Comorbidity; D005260:Female; D006646:Histiocytosis, Langerhans-Cell / Q000175:diagnosis* / Q000453:epidemiology* / Q000473:pathology; D006801:Humans; D008545:Melanoma / Q000453:epidemiology*; D008875:Middle Aged; D014057:Tomography, X-Ray Computed