Document rpv8EMQBwK3wNOp0d23zpxmK7

> i". i'Ik- f i i st '-5-y'a r-oI d fi-aia I a. UolwiU'ii lur r i -. ...vr ,f life, sir lit'': .."-'iked for exactly 7 years in I Ik: ini1 .n 111 weaving < ! -p ir I :'k-i n s of an ashustns paint. Fnm' ir io In.'c dealit, s!v begun to cough mill luiw shortness of i-r ,.i'.i".t Its before .sin: died, she was treated fur suspected I iil.r ri i: 1 in I . Il.n ii.ii'. (;.iv a probable d iagni'S is of cancel: in the left lower loll... due io extensive ashestnsis, since there were clinical symp- i : s of atelectasis anti the main bronchus was tomograph ten lly found to h" d. I'.;i I-'il. Anatomically, this' was a cornificd carcinoma nf the pave ment ei' i I In.-1 i urn, with a v.i I nul.-s j acd decomposed cavity, which also affected the lower l.nlii' hroneluis, with pleura callosities and mcl.jstases in the liver and kidneys. r The second observation concerned a 55-year-old male who, between II i .* .Kith and d3rd years of his life, had been involved the preparation |U'nc uses of an asbestos plant, for a total of 7 years- Thirteen months prior ro his death, there was sudden loss of weight accompanied by bloody e.'T'ectoraCioii. He. was first suspected of suffering from tuberculosis. Above che left long underneath, respiration was suppressed and weak. X-rays showed a shadow around the left lower field. His treating physi cian gave a diagnosis of asbestosis with lung cancer. This was confirmed by the autopsy. The cancer, which was in the left lower lobe, had also caused a v:a 1 tmt-s ized decomposition of the main bronchus, and also affect ing the pericardium, the left chamber wall, the diaphragm, the peritoneum of the left upper pare of the abdomen, the retroperitoneal tissues behind the spleen, the lymph node and the lower breast and upper lumbar spinal column. Histologically, this was again a cornificd carcinoma of the pave ment epithelium. bronchial carcinoma had also begun Co appear in the right lung lower loho. In this observation, Nordmann included an evaluation of the various aspects which could possibly lead to occupational cancer. For the first time, there was a definite mention of occupational cancer in asbestos reiburs . r In 1939, Wedler reported on one additional observation made in Ger many, which lipd originally been made by Bohne. but which had not been re ported at that time. The 58-ycar-old male had, between 1925 and 1935, worked as a part-time, craftsman in an asbestos plant. A few years follow ing his exposure to the particles, he began to have respiratory troubles. In 1928. he was transferred for a period of two months, l.eter, he often iincci-wc ut cures at cure centers, without; tubercle bacillus ever being detected. Heenuse of a worsening of his condition, he stopped working 3 n.icMis prior t.n his death. In the hospital, lie showed symptoms of general emaciation, cyanosis, and a probable catarrh, particularly under the upper part of the lung. Iliit sputum contained numerous asbestos particles, but " tubercle bacilli. Ills blood sedimentation rate sharply accelerated (379V). In i In- left above the ninth r ib, there'was a tumor the oi'/.c of a chest nut. which had grown together wltl\ the skin in the anterior axillary line, which was removed and found to be a carcinogenic metastasis. X-rays showed ::ynn<turns of asbestosis as well as multiple indications In the right upper field. Judging from the documents in my possession, there was no iutra vlt.in -A-