Document GKZE0V9VV9xKQp7dLNJb658N
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xT tiiG tlfi j'JC 1*3 n}/pC:l pi*'***-** i
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and finally, earciriozm.t;* cf i.ostly /. uMtlplc: orlrl:*. The nlnuru-c ~ r.c
oossibly doveloos ;;iuliiar.t" 5oal 1 y or-. ta.i cv;nj snm of the "*).**'*' v.< cannot totally exclude .ft<'r our bloody f.i ;.<'li:urs tr* vltcro>.ner 1-y c**":*"*t
within t.iie past 3 years. 'even In the r-0..-.r.i vely e-.rly sti\=-os v-o
alr/ays find tho entire nloura p**.ri *i>0.is nr.d viscerslis of at lesnt
nf
the thorax attacked, that is why sur<rical t r.-stmont of there svullir^s (tu.-.ors,
arc as rood as hopeless. Tim *u>bc-.5tos crystals, which, as is well hr.t..-;,j also
pierce the pleura, are feriwin- the chronic, csrcJr-oronous stimulu;-. .hie/, is I-:-*
d* n^ to cancer mostly only eftac o l^/mcr time interval (accordinp <-o nO.tv.-.
IS to 21 years after berin of work with asbestos). In our case, the-cirser in
terval of 3 years between proven cancer and start of work with ssbestos is
yet the danger oi` asbestos duct lasted for altogether 22 years ar.u was especial]
intensive in the first 15 years.
The oloura-car.cer is considered rare, yet vrnea until 1947 (aside* from 6 ci/.es of tho much more frequent bronchial ear.oor as the occupational cancer of as bestos workers) 2 of the rare pl.vura-cnnccrs in combination with lur.,r asbestesls were observed, one may v/oll accept'the latter's causal connection. v.itii ;>.sbestosis.
Ad.iinr our case, we are nearly certain to dofino the ploura-ctncer us a special
form of the usbestos-esneer. In our case. Its proof in vivo was r.ot only ex
tremely useful with regard tc tne x-ray plan, but also for tho patient himself,
who now, while still alive, is able to enjoy the benefit of conpensation for
-his oocupatlonal illness.
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Suinmary ;
To our knowledre, first description of a case of lunr-asbestosis with pleirucancer, in which tumor tissues with asbestos corpuscles could be diarr.osed in vivo by way of thoracoscopy with test-excisions from pleura. To regard picuracancer as a special fom of the occupational cRncer of asbestos workers has proven to be justified.