This investigation, the results of which are shown below, was undertaken to determine the significance of mediastinal or bronchial glands in early or mistaken eases of tuberculosis of the right lung apex. Before considering the diagnosis of these glands and their connection with mistaken cases of right apical tuberculosis, it may be well, however, to examine anatomically the location of the bronchial glands and their relation to other lung structures and to review the literature on this subject.
As seen in the diagram (Fig. 1, Sukiennikow's1), the greater number of glands are situated on the right and along the main bronchial vessels; there is also greater massing of glands on the right as well as chain formation. Normally, we also find that the right bronchus branches off at a higher point than the left, corresponding to the fifth dorsal vertebra (Gray2); it is also shorter, wider and more
HONEIJ JA. THE IMPORTANCE OF MEDIASTINAL GLANDS: AND FAILURE TO MAKE PROPER DIAGNOSIS. JAMA. 1911;LVII(12):958–962. doi:10.1001/jama.1911.04260090180006
Coronavirus Resource Center
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: