Case Study: Pulmonary Sarcoidosis

Gary J Whitman, MD, Rajesh Krishnamurthy, MD

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In This Article

Presentation

A 44-year-old female presented to a cancer clinic in 1994 for follow-up after a recent right segmental mastectomy for a grade I infiltrating ductal breast carcinoma. Initial staging work-up had revealed degenerative changes at the L5 level on the nuclear bone scan and no evidence of metastatic disease on radiographs of the chest or on the CT scan of the abdomen, but there were changes on a repeat chest radiograph. The patient was scheduled for radiation and chemotherapy.

Review of symptoms revealed no history of weight loss, loss of appetite, fatigue, cough, dyspnea, palpitations, chest pain, headaches, syncope, seizures, or any abdominal symptoms.

Past medical history: The patient had a history of endometriosis. She was not on any medications. Past surgical history included removal of a lipoma from the back and a tonsillectomy at age 6.
Menstrual and obstetric history: Menarche at age 12, G1P1A0, with first childbirth at age 31. The patient was premenopausal and had been on oral contraceptives for 5 years.
Family history: The patient's mother had breast cancer, diagnosed at age 95. Her grandmother and two of her uncles had colon cancer. The patient did not have any known allergies.
Social history: The patient did not smoke and only occasionally used alcohol. There was no history of exposure to dusts, toxins, or household pets, or any recent history of foreign travel. She was employed as a librarian.

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