Document xjvgQw5MZRqb39zJz7G7k69m0

No. 6 Asbestosis & Carcinoma of Ll'ng Cordova et al. 1183 Fin. 2. Case 1. Microscopic section from separate focus of the tumor in apical scar showing several asbestos bodies. (X4'>0.) carcinoma. Autopsy revealed an anaplastic car cinoma, arising in the right upper lobe bron chus and infiltrating the major portion of that lobe. Metastases were evident in the hilar lymph nodes, liver, and adrenal glands. As bestos bodies were seen within the tumor and in the adjacent fibrous lung tissue. Case 7. E.J.H. was a 65-year-old white man who was admitted to the hospital with a primary complaint of swelling of the right side of the neck of 1 week's duration. He had worked as an asbestos insulator in the Bremer ton Naval Shipyard, Bremerton, Wash., during the past year and prior to that had worked in an asbestos manufacturing plant for 53 years. He had smoked 1 package of cigarettes per day for 40 years. He had progressive dyspnea with rapidly decreasing respiratory function and diecl 3 weeks after his admission to the hospital. Autopsy revealed severe pul monary fibrosis with a squamous carcinoma infiltrating the right upper lobe. Asbestos bodies were prominent within the tumor-bear ing area. Case 8. P.K. was a 62-year-old white man who presented with symptoms of general dis ability and weight loss. A roentgenogram taken on admission to the hospital revealed an area of increased density in the right upper lobe and emphysema. A hilar mass was evi dent on the right. At thoracotomy, a tumor involving the right upper lobe was found. However, the tumor haa, by direct extension, involved the chest wall and was considered inoperable. The patient died 3 days postoperatively in respiratory failure. The tumor was for the most part an undifferentiated car cinoma with areas of mucus-producing adeno carcinoma. .Asbestos bodies were identified in both the tumor and the areas of pulmonary fibrosis. Case 9. G.S. was a 68-year-old white man who had worked for many years with asbestos and Fiberglas as an insulation worker. His chief complaints were productive cough, ex ertional dyspnea, and weight loss. A roent genogram of the chest revealed interstitial pneumonitis in the right upper lobe. The patient showed progressive pulmonary dif ficulty with cyanosis and died 10 days after admission to the hospital. At autopsy, the left lung revealed multiple firm nodules up to 1.5 cm. in diameter, and the right lung contained a firm but honeycombed area in the right apex. Sections showed a bronchiolar carcinoma with multiple foci throughout both lungs and the hilar lymph nodes. Asbestos bodies were