Abstract
THE difficulties which clinical diagnosis of lung tumors presents were clearly appreciated by the older clinicians who fostered also the tradition that only in the rarest instances were newgrowths primary in the lung. With the advent, however, of more precise and accurate methods of diagnosis, but mainly as a result of disclosures of the X-ray examination, the diagnosis of this disease has been clarified and simplified and the fallacy of the conclusion regarding its rarity has been convincingly demonstrated. As a consequence of this there has been a renewed interest in the diagnostic problem which the disease presents, a closer scrutiny of its clinical aspects and more careful pathological investigation, with the result that numerous observers all over the world are now reporting cases of primary pulmonary carcinoma. The 374 cases cited by Adler in 1912 have been amplified more than tenfold since that time.2 This state of affairs has, however, led some to the conclusion that the disease has actually incre...
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