Br Med J. 1874 Apr 25;1(695):541-2.
Primary Cancer of the Lung.
"The post mortiem examination, kindly made for me by Mr. Plaxton, House-Surgeon of the Hull Infirmary, gave the following results. The right pleura contained a considerable amount of fluid andl many adhesions. The lung was puckered up and nodulated, and in the part exposed to view (we were only allowed to make the examination on the
condition of not displacing any other organ) had been converted into a hardislh white substance, rather creaky in parts 'vhen cut. The disease had invaded nearly the whole of the upper part of the lung, the base and posterior portion being free and containing air. There was a smaH4 quantity of seruim in the pericardium, and the same growth made its
appearance at the root of the heart in the form of a round nodule projecting between the right auricle and the aorta. The left lung was quite healthy, and so were the abdominal organs. Subsequent microscopic examination of a small portion of the growth showed it to be of the usual encephaloid character.
RENIARKS.-The extreme rarity of such a case as the foregoing renders it worthy, I think, of record. Dr. Walshe, in his work on Cancer-, says " We have not materials for decidinc the proportion borne by cases of cancer limited to the lungs to those in which the implication of the pulmonary substance is merely an element of the diathesis." In judging of the probable existenice of malignant disease in internal organs, we are naturally, to a certain extent, guided by the appearance of the patient ; but, in the case of the lungs, we can draw, it seems, no inference from it."
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