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1 The Jewish Hospital, St. Louis, Missouri, and the Department of Internal Medicine, Washington University Medical School.
A 50 year old man with proved bronchiogenic carcinoma of the lung had a large hemorrhagic pleural effusion. Study of the fluid showed no tumor cells, but evidence of inflammation. A pneumonectomy was performed and the fluid was shown to be due to secondary pneumonitis. The patient is well after five years postoperatively.
The presence of pleural effusion in cases of bronchiogenic carcinoma of the lung does not contraindicate operation unless there is unmistakable evidence of metastasis to the pleura such as tumor cells in the fluid or visible tumor in the pleura.
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