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Article
August 1950

DOUBLE MALIGNANT TUMOR ASSOCIATED WITH PULMONARY TUBERCULOSIS AND ESOPHAGOBRONCHIAL FISTULA

Arch Otolaryngol. 1950;52(2):225-233. doi:10.1001/archotol.1950.00700030246012
Abstract

A CASE is presented of double primary, malignant tumor associated with pulmonary tuberculosis and esophagobronchial fistula. Especially interesting features are the diagnostic possibilities and the role of the otolaryngologist in establishing the diagnoses.

REPORT OF A CASE  A 59 year old white newspaper salesman, unmarried, was admitted to Strong Memorial Hospital on June 24, 1949 with a history of progressively severe chronic cough productive of purulent sputum, which began three months prior to admission. The signs and symptoms were malaise, extreme lassitude, anorexia, undetermined weight loss and vague substernal pain. There was no history of chills, fever, sweats or hemoptysis.The past history was not of especial significance except that the patient lived the life of a derelict. Routine roentgenograms of the chest made in 1947 showed increased fibrous markings in the pulmonary fields but no evidence of specific disease (fig. 1).Examination revealed a well developed but chronically ill

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