October 11, 1947


Author Affiliations

New Orleans

From the Department of Surgery, Tulane University of Louisiana School of Medicine, and the Ochsner Clinic.

JAMA. 1947;135(6):321-327. doi:10.1001/jama.1947.02890060001001

Within the past few decades two well established and generally accepted concepts of primary cancer of the lung have been completely disproved. One is the concept that carcinoma of the lung represents the "rarest form of disease."1 The other is the concept that pulmonary cancer is a hopeless condition. The present, completely antithetic concepts came about in the first instance through intensive and more accurate studies, which demonstrated that the lung is second in frequency only to the stomach as a primary site of malignant growth, and in the second instance through the pioneering achievement of Evarts Graham,2 who showed fourteen years ago that resection of a primary pulmonary neoplasm is possible. This successful achievement contributed still further stimulation to studies on the incidence of the disease. In many respects these facts reflect the rapid progress which has taken place in this relatively short time in the field

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