Document qkqxxgw8G803ezE3Vo4E4wEQq

'.uni, " '.i' pur i l .!! 'i;n ascites. 'I In: I.-!!, j' *_ < t r: 11 cavity i si'.inr'^f . "i 11 - r. ...is componr.n Cory cr.jj'.iivscma in die ... ich'.lic [cm.11'` die' ->f cardiac insufficiency following Tiw liv.'-rvntjon was made by Alwous. Tile autopsy was performed : iicli-.v.-i..'.:.' a consu Italic, I became involved witli ibis' case. The 1 vear-p'i] rvilc (-fi/l.'/Sl lo 9/l'l/41) liad been working in an asbestos rubber I ' uc for year;:, until (i months prior to his death. lie bacainc ill "In rv r: 1941 with .increasing shortness of breath and lass of weight, w'lii symptoms of Left pleural secretion. The respiratory sounds wore totally ..ipnrcssoi! and sustained, and there was right cardiac repression. His sputum contained considerable, amounts of asbestos particles. In ihe jelly- like red secretion, mostly obtained through puncture, numerous tumorous cells could lie found. Above and under the right lung, individual fine h : -i'I e-1 ike rattling sounds could be heard. The sedimentation rate quickly increased. There were no tubercle bacilli to be found in the sputum. Eased on the x-rays, a moderate asbestosis was diagnosed, with ltic primary tumor thought to be in the right hilus. The autopsy revealed a mild case of asbestosis, with a diffuse primary mucus-forming glandular coll carcinoma in the left pleura of mostly adcmalous character, and trotastases on the abdominal side of Che left diaphragm cupola, the serosa aid the snail pelvis, and the left side of the chest musculature. The autopsy report on the thoracic organs is quoced here, since no report has yet been made on the subject. Autopsy of the chest. Moderately developed paoniculoun adiposes. The thorax is moderately expanded and flexible. The rib cartilage ran cosily he cut. 'The diaphragm is on the right, at the level of the fifth intercostal space; on the left side it is folded under, and penetrates far into cite abdominal cavity. Its bottom pole here is lower than the neck of the pelvis. In the pneumothoraclc test, almost 3,000 ccm of yellowish-brown fibrous fluid is released by the. left pleural cavity. The entire mediastinum is displaced to the right. The heart hangs in the shape of a drop in the mediastinum; its left edge lies along the median line. The right lung floats freely in the pleural cavity up to small string-type growths. In the pleura costalls, there are gray nnd white tendon-1iko scales about the size of the palm of the hand, with isolated tubular nodes which are also gray and white. In the pleura of the right l.uag upper lobe, them is a large radiating scar. On the pleura of the rip.ht lung, there is a fine moderately firm adhering gray fclt-like layer. Vue right lung it.se' f is normal in size and filled with a moderate .insotti . of air and f i u i d. Tun pleura and die surface of the cut show m>ui. .ate 1 y evero hl.'i' a. inosli-1 vpn mark lugs. Generally, the lung tissues are vd in color. Then: am no clusters to bu observed. In the lower lobe branching ol die right pulmonary artery, a small brownish-red blood thrombus ad heres to the intimn. The pulmonary arteries are empty. The left pleura is i. ntirely covered with rind-like skin. On the Inner surface, there iire massive, tight )y-p.i ;kcc' tuberosities fencing the size of n walnut, win i mulberry-type surface consisting of blister-like (white on the surface of the cut) tumorous tissues. When cut, the latter secretes a