It has been demonstrated that an entire lung in man may be excised successfully. It has also been shown from early follow-up studies that such a procedure is not necessarily incompatible with a reasonable degree of good health. An increasing number of patients with primary carcinoma are being placed under the care of a thoracic surgeon at a time when it is impossible to demonstrate that the tumor has spread beyond the lung by our present methods of investigation. Thoracic exploration is being carried out more frequently, and my own experience suggests that the number of resectable lesions is steadily increasing. It has not been demonstrated, however, how many of these cases, which seem operable and in which no gross evidence of mediastinal extension has taken place when surgical exploration is carried out, will eventually result in death from metastatic disease. Many years will be required to answer this question.
Overholt RH. APPARENT CURE OF PRIMARY CARCINOMA OF THE LUNG BY PNEUMONECTOMY: CASE REPORT OF A FIVE YEAR FOLLOW-UP STUDY. JAMA. 1939;113(8):673–674. doi:10.1001/jama.1939.72800330003010a
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: