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1. This patient is reported for several reasons: Principally, because he had an undetected large bronchiogenic carcinoma.
2. The unusual pain syndrome is different than any encountered in our experience.
3. There were two simultaneous histologically different carcinomas; one spread widely, and the other entirely local.
4. There was an exceptionally wide variety of pathological findings, including a fusiform and a saccular aortic aneurysm only a few centimeters apart.
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