Abstract

(1) Eight cases of tumor of the pleural are presented. All are believed to be of mesothelial origin. Six were diffuse, two solitary. One diffuse tumor may have been primary in the peritoneum with spread to the pleura. All cases with diffuse tumors are dead two to 40 months from onset of symptoms. Both cases with solitary types are living one year and four years after surgery. (2) The diffuse tumor must be differentiated from metastatic carcinoma. This is done by exclusion of all possible primary sites. A fairly typical clinical picture is highly suggestive. This consists of rapid onset of symptoms, marked dyspnea, pleuritic type pain, and massive bloody pleural effusion.

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