CASE PRESENTATION An 80-year-old-woman was referred for evaluation of chest pain that appeared after providing care at home for her sick husband, which included helping him to get up and move about. The pain was initially triggered by lifting heavy objects but then became constant, without exacerbating or relieving factors. The pain was located in the left hemithorax and was not associated with shortness of breath or cough. Because the patient did not feel any better after a month, her general practitioner ordered a radiograph, which revealed a suspicious pulmonary nodule in the left upper lobe. She was a lifelong nonsmoker and denied any drug abuse. She had not been professionally exposed to lung carcinogens. She had a medical history of type 2 diabetes, ischemic cardiomyopathy, and renal artery stenosis. Her father died of lung cancer. She resided in Lille, France, and did not report any recent travel.

中文翻译：

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一位患有孤立性肺结节的 80 岁女性

案例介绍 一名 80 岁的妇女被转诊评估胸痛，该胸痛是在家照顾她生病的丈夫后出现的，包括帮助他起床和走动。疼痛最初是由提起重物引起的，但后来变得持续，没有加剧或缓解的因素。疼痛位于左半胸，与呼吸急促或咳嗽无关。由于患者在一个月后感觉没有任何好转，她的全科医生要求进行 X 光检查，结果显示左上叶有一个可疑的肺结节。她终生不吸烟，否认有任何吸毒行为。她没有专业地接触过肺癌致癌物。她有 2 型糖尿病、缺血性心肌病和肾动脉狭窄病史。她的父亲死于肺癌。