Document MJoRNBb80RyKGEdg9me4py0K7

r^ ^ t ^^ i. # * ^ ^* ^p3^ie'^egi'iial'ng^ie5^w.as';jsuspec.te'd'- of^-lia.ling contracted^^uberculosi:st'j;Tiiere'':;- ^ -* v 4 ng^spund' (xe'spiral&on).^oVex^lie^lowOT^lefi [GLqwerjJfi e ld/-shpwed ='{op a c ity;.r3ie:^'hysi:6 iaz *ri"t:h'?'n:rinr rn nfT*'tl- V.rP'h flntn'n<;Tr ?-'-r rvn-fM ^S>j5roRDMAMN.':sad.dea:::tb'--'tlie.se:-"b'bser.yatibns ;a:.:-t hor ough evaluat idncor.xtlie rview-jpoint ^ A-wh 1 f.~h - ~-r a fiTfi a d 'Lpr.o of _jt ol-him.cot'' ah-.pcc up at1 ona 1 'cancar^vHe^was?4-tlie-if^xs.tioiie^c .V * w ^ ** vvw V ^ ** * w / **v - llll *1 **J j-/V J - Sad '-"worke d/J-Oye ahs~'(1925.:,r'. 19353.; as. master.- workman in-'an asbestos -p 1ant/.;.. Or ly/'a:;few'years'after ::h'aying.. been exposed;to dust, he -already :h'ad.- trouble./wit SIris-respiratory. brgansis^n 1928 -he-was'-bent for.;2-.months .to aheaith resort; Several" times.-thereafter he. took-other rests at sanitariums,-although no"mypi-'cobacteria-:.tuberculosis were''found..-Due--to an increasingly,;-wor.sening./condit <:^^he ' quit. his ;J oh 3 months 'prior ' t o his death. In the- hospitai'he^-showed'.signc ^-^bf'-a general' emaciation,/cyanosis and a catarrh which.was.-especially,noti- :^.cibl-overithe ...lower'part- of'the . lungs. There were numerous asbestos-'cor-; -/ ^p.uscles.\in:Jthe;. sputum-but ho mycobacteria- tuberculosis.iThe .erythrocyte, sedi `^.mentation was -strongly accelerated .-.(57/95). . On the.deft/ above . the 9th rib e *:chestnut'-sized; swelling; which was. grown together, with .the ...skin, - was found .ir ;dthe'- enterior ~raxillar -line. It'was removed and turned., out to .be. a-cancer'mete *a-ffbasi-s.--Boentgenologically,/there were, signs of an^asbest'osis as well;.as; an increase in-markings in the right upper stories (regions). According-to the/. Evidence-at-^my disposal, there obviously was no diagnosis -of; a.'Q.ung cancer:: l^'Jintra-' vitam.dThe- patient -expired- of heart failure soon after-'the,excisionJbf t^dthe ..metastasisd'Thei.lfindings of -.the postmortem examination . were.de scribed-'as ^^ff ollows'nbT-i'TheVlungs .were tightly grown'together with ;.the^chest wall;-;Thet'- ' Tdheart'was not ^enlarged,.";the./musculature of a brown-redd 1 sh.-color- -and-^of n -.-g S dsomewhat:f1 a c'c id';c ons i stency...The left lung w a sfull-'of " b1 ood; a nd''fluid/--the ;V;"./lower;:-lobe - of' solid.;.(compact).- consistency- and of .slate 'colorUpon "removal,-: <=5} 'the right lungft ofeyin.the -area ;of-the middle lobe. Its tissue . looked.yellov /3;;"red(iish:'andvcompletely^ deteriorated (decayed-)'and .was showing extended cavit ^and. node format ion.'. The upper^lobe-was-rich in blood'.'and fluid,, of firm:con- ybistency.'. and/free ofyair .-.The -lower, lobe was of a slgUsh, -grey^reddish.cole ^/and fiha/consistencyiKIt'was' also free of .'air.-.The^micr.oscopicai^examinatio; 1>' of stfce* ' lSihgst:shpw;eJ.^typicalr cancer-.'.t-issue in theiright .middle - lobe^yrhe're as, he.4 lower. lphe/:pr e~sen t ed..'-.all: `change s.^whi'ch. are cnbra ct er laJJu^-fogasbe st os i.`