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To the Editor:—
There need be no argument that from time to time some one reports a case of lung cancer in a worker who was exposed to asbestos. Probably the first American case was by Lynch and Smith (Amer J Cancer24:56 [May] 1935). It may be that there is a relationship between lung cancer and exposure to asbestos. However, as implied in our original answer, there is no epidemiological evidence of such among American workers.Paul, in his article, stated "Textbook descriptions of clinical diseases are often considered inadequate today unless a section on epidemiology accompanies the... etiology, pathology, and others" (JAMA175:601 [Feb. 18] 1961). In the textbook of Hinshaw and Garland (W. B. Saunders Company, page 668, 1956) the following is stated, "It has been surmized that asbestosis may predispose to bronchogenic carcinoma, a hypothesis which has not been fully confirmed."The English experience
Johnstone RT. Silicosis and Cancer-Reply. JAMA. 1961;178(3):353. doi:10.1001/jama.1961.03040420092026