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unifrib oktttrs ocnMir - Legacy Tobacco Documents Library

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ty 6<br />

of the bronchial tree, whore tho concent r atien of oigarette<br />

smoho is not nearly so „roat as in t :b.c trachea and /.argor<br />

branchos, Why?<br />

http://legacy.library.ucsf.edu/tid/hly24f00/pdf<br />

1 do not bol.ieve that there has been nearly so great<br />

an incroa .se in cancer off thc lung us may at fi>st e.ppoar .<br />

For oxample, some of the roaeonh Ror the inorI aso in veportod<br />

caeos of cancer of the lung aro as follows : (1) a greater<br />

interest in the subject after Ar . Oraham :.ured the first<br />

case by removal of a lung (previously dt was always fatal) ;<br />

(2) grcater sNCill l in Girect examinatirnb of the bronchi by<br />

the uso of the bronchoscope ; (3) groxtly refined x-ray<br />

techniques ; (4) the u>o of the pap[ .nicolnou smoar, which<br />

is the atiero8copi.e study of cells i.n washings and sputum<br />

from the bronchial tree ; (5) the creat refinements in<br />

anesthesia wihich mahe opon oxposurb of the lunge and<br />

exploring of the chest a relative : .y innocuous procedcn e ;<br />

(6) mor.e wi .dosproad facilities foc carefully and thoroughly<br />

investigated post-mortem examin .aticns, such as wore common<br />

in 13eri.in at a much on .rlier tLio ; and (7) the increasing<br />

ago span oP the populati .on in ; lcinnra.l, bringing more<br />

patients into the cancer ago . YncrenEed awareness of the<br />

die,caso and the Improved mothods : of diaguosi.s, when coupled<br />

with the inereasing ago span of the population, may account<br />

for most, if not all, of the increase in cad;es reported<br />

dnai.nG recent years . In Germany, where careful post-mortem<br />

1755

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