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Within the past decade there has been sustained interest in the study of benign bronchial growths. The clinical stimuli have been afforded by (1) greater use of the bronchoscope in pulmonary conditions; (2) the urgent desire for effective therapeusis; (3) careful postmortem examination, and (4) increasing knowledge of the mechanical and biologic sequelae of these tumors. In this paper we shall present the striking clinical and pathologic protocols of a case of inflammatory bronchial polyp in an elderly man who came to postmortem examination. A review of the literature on primary benign bronchial tumors and inflammatory tumor-like masses is appended. REPORT OF CASEClinical Protocol.\p=m-\History: C. F., a white man aged 55, was admitted to the tuberculosis service on Dec. 9, 1935. He had had a cough at intermittent intervals for four years. This had become constant during the preceding year and at the time of admission was productive of 4 ounces (118 cc.) of nonfoul mucopurulent sputum. There was no hemoptysis. Occasionally during the preceding twelve months there had been pain in the thorax and the upper part of the abdomen, accompanied with vomiting, constipation for six months, fatigability and loss of weight (quantity unknown).Physical Examination : At the time of admission the patient was pale and thin and appeared to be chronically ill. The right pupil was slightly larger than the left, but both reacted to light and in accommodation. The trachea was deviated to the right. The chest was emphysematous and some dilatation of the superficial veins was present over the upper anterior aspect of the thorax and the right arm and to a lesser degree on the left arm. There was dulness in the right lung from the apex anteriorly to the fourth rib, in the apex of the axilla and posteriorly from the apex to the sixth vertebral spine. Bronchial breathing was heard in these areas, and there were a few rales posteriorly. The left lung disclosed hyperresonance throughout. The heart and the abdomen showed no abnormality.
Within the past decade there has been sustained interest in the study of benign bronchial growths. The clinical stimuli have been afforded by (1) greater use of the bronchoscope in pulmonary conditions; (2) the urgent desire for effective therapeusis; (3) careful postmortem examination, and (4) increasing knowledge of the mechanical and biologic sequelae of these tumors. In this paper we shall present the striking clinical and pathologic protocols of a case of inflammatory bronchial polyp in an elderly man who came to postmortem examination. A review of the literature on primary benign bronchial tumors and inflammatory tumor-like masses is appended. REPORT OF CASEClinical Protocol.\p=m-\History: C. F., a white man aged 55, was admitted to the tuberculosis service on Dec. 9, 1935. He had had a cough at intermittent intervals for four years. This had become constant during the preceding year and at the time of admission was productive of 4 ounces (118 cc.) of nonfoul mucopurulent sputum. There was no hemoptysis. Occasionally during the preceding twelve months there had been pain in the thorax and the upper part of the abdomen, accompanied with vomiting, constipation for six months, fatigability and loss of weight (quantity unknown).Physical Examination : At the time of admission the patient was pale and thin and appeared to be chronically ill. The right pupil was slightly larger than the left, but both reacted to light and in accommodation. The trachea was deviated to the right. The chest was emphysematous and some dilatation of the superficial veins was present over the upper anterior aspect of the thorax and the right arm and to a lesser degree on the left arm. There was dulness in the right lung from the apex anteriorly to the fourth rib, in the apex of the axilla and posteriorly from the apex to the sixth vertebral spine. Bronchial breathing was heard in these areas, and there were a few rales posteriorly. The left lung disclosed hyperresonance throughout. The heart and the abdomen showed no abnormality.
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