A 43-Year-Old Woman With Hoarseness of Voice and Chest Pressure

Matthew J. Miles, Thomas A. Dillard, Locke J. Bryan

Research output: Contribution to journalArticlepeer-review

Abstract

Case Presentation: A 43-year-old woman with a medical history of cervical cancer treated with curative hysterectomy 12 years earlier developed progressive dyspnea, chest discomfort, and hoarse voice over a 7-month period. The patient never smoked and had no exposure history. Imaging at an outside hospital showed a mediastinal mass with hilar adenopathy (Fig 1A), which was biopsied via endobronchial ultrasound transbronchial needle aspiration (EBUS-TBNA) and revealed noncaseating granulomas with surrounding rims of lymphocytes (Fig 1B). The patient was given the diagnosis of sarcoidosis and started on prednisone 60 mg daily. She had no improvement in symptoms after 3 months of therapy and therefore presented for a second opinion.

Original languageEnglish (US)
Pages (from-to)e107-e110
JournalCHEST
Volume156
Issue number5
DOIs
StatePublished - Nov 2019

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine
  • Cardiology and Cardiovascular Medicine

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