Document jDmxMRxgn85KE3nyOq14JMZR

r r r 'mi.- . , p.iti'iu I i,fi < i'(l iur i "-uf t' i i. my . r '.!> : the ' i:-1 o i ` . Tiic aul.;.;v.y f i i np.n v.v r ,1 f; I 1;", : i '.i.i J i` *---! i L:v.. ! i-.-r with l hi: cliosi wait. ,ri u . i-n ! i , il, i'if muscuUiCuii brownish-red in color .nut i . imewh.iflaccid. T!i.- '...fL lung was filled with blood and fluid, the l .i lobe, '.-ms firm .'.ml : i < i '-gray colored, The right lung ruptured in the ... ,.f the mi i dil I r I t- I; 11 eeimivo.d . Its I i - i * was ;i redd Isli-ye). I ow. .i" I , us decomposed and sin .',.-.-.ct widespread forma; i.ou of cavities and nncles. .I'per 11'be iMi; filled -..ith blood and fluid, its consistency was firm .irid air-free. The lower lobe was slate-gray and reddish-gray in color, and firm tu the touch. It was also found to be air-free. The m.icro- so'|iic examination oT the longs showed typical cancerous tissue in tho right middle lobe, and all the alterations which arc characteristic in the case of asbestosis wore present in the lower lobes. More particularly, there were asbestos particles in all the parts examined." According to Haarlcr (1939), six authors saw a total of 14 cases of asbestosis cancer between the years 1935 and 1938. However, this report did not include any details and, judging from the available documents which are listed above, this cannot be completely confirmed at this time. In_l.9_41, a detailed clinical and pathological-anatomical report was published by Wcdlcr and Linzbach on an additional patient history which described the complete course of the disease. The 60-year-old male had. between 1921 and 1939, worked a total of 18 years in an asbestos plant, lie was only exposed to the strong effects of the particles (preparation) (or ihe first three years. His first problems were experienced shortly after his employment. In 1933, he .already presented the picture of an uncomplicated a,id severe case of asbestosis, which had developed chronically. During die course of his last year of life, an increasing shadow developed over his diaphragm in the right Lung lower lobe, witli clinical symp toms of atelectasis and \ater decomposition, as well as severe neuralgic pains in Che respective intercostal nerve area. Hlood appeared in his sputum. All symptoms seamed to indicate cancer which had ulreaay been diagnosed clinically. The autopsy confirmed the diagnosis of a collapsed corin'fied carcinoma of the pavement epithelium, originating from the right lower lobe bronchus. There were no metastases to be found. In die meantime, two additional observations have been reported in Germany, but no documentation is as yet available. The first case was observed by Teutsclilnender, who reported twice verbally on rlio subject. Following is a qnolatlun from a personal com mon i rat ion on the subject: "In .1938, Tcutschlaendcr performed an autopsy on a 40-yeac-old female, who load been employed in an asbestos plant for a period of 10 years with long interruptions. In.Iter cose, a clinical diagnosis was as followed: 'laing tumor on the. right? Lung process on the right? Secondary emphysema on the left, ascites, severe cachexia'. The autopsy revealed no t uliercnlos i s, hut rather a widespread asbestosis with nai.r. ive iiccumulai ion of asbestos particles and a right-sided plenre blastoma which wus histologically found to be pseudo-alveolar mesothelium. Tumors -.5-