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THE PRESENT STATUS OF THE SURGICAL TREATMENT OF PRIMARY CARCINOMA OF THE LUNG

WILLIAM FRANCIS RIENHOFF Jr., M.D.
JAMA. 1944;126(18):1123-1128. doi:10.1001/jama.1944.02850530001001.
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Slightly more than one decade has elapsed since the first one stage total pneumonectomy in the Johns Hopkins Hospital was performed, on July 24, 1933.1 After extrapulmonary individual ligation of the hilar structures the entire left lung was removed from a 3 1/2 year old girl for primary fibrosarcoma of the left main bronchus. The child had a remarkably uneventful convalescence and lived to be 8 years of age, when she succumbed to an accident. Postmortem examination showed no recurrence of the original growth nor any abnormality of the remaining thoracic viscera, except a compensatory dilatation of the right lung. In April 1933 Graham2 had performed the first one stage total pneumonectomy for a primary carcinoma of the lung. In this instance the patient, a physician, is still alive and actively engaged in practice. The series of cases herein reported and that of Graham,3 recently published, not

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