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Volume 36, Issue 4, Pages (October 1959)

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Presentation on theme: "Volume 36, Issue 4, Pages (October 1959)"— Presentation transcript:

1 Volume 36, Issue 4, Pages 343-352 (October 1959)
Mediastinoscopy: A Method for Inspection and Tissue Biopsy in the Superior Mediastinum  ERIC CARLENS, M.D.  Diseases of the Chest  Volume 36, Issue 4, Pages (October 1959) DOI: /chest Copyright © 1959 The American College of Chest Physicians Terms and Conditions

2 FIGURE 1 Photograph of two scopes for investigation of the mediastinum. The longer and thinner one is specially built for inspection of the carina region. * *The instruments are made by A. B. Stille-Werner, Stockholm, 4, Sweden. Diseases of the Chest  , DOI: ( /chest ) Copyright © 1959 The American College of Chest Physicians Terms and Conditions

3 FIGURE 2 Diagram showing the scope introduced through an incision in the suprasternal notch. Diseases of the Chest  , DOI: ( /chest ) Copyright © 1959 The American College of Chest Physicians Terms and Conditions

4 FIGURE 3 Carcinoma in the right main bronchus with atelectasis of the middle lobe and metastases in the paratracheal lymph nodes on the right side. A silver clip indicates where the biopsy specimen was excised during mediastinoscopy. Diseases of the Chest  , DOI: ( /chest ) Copyright © 1959 The American College of Chest Physicians Terms and Conditions

5 FIGURE 4 The x-ray shows a hen's egg-sized, expanding lesion to the left in the superior mediastinum in a patient with a verified carcinoma in the bronchus to the left lower lobe. Diseases of the Chest  , DOI: ( /chest ) Copyright © 1959 The American College of Chest Physicians Terms and Conditions

6 FIGURE 5 and 6 Frontal and lateral x-ray views of a patient with a tumor in the left main bronchus and with atelectasis of the lower lobe and broadening of the hilus. A silver clip indicates the lowest point reached during mediastinoscopy. Diseases of the Chest  , DOI: ( /chest ) Copyright © 1959 The American College of Chest Physicians Terms and Conditions

7 FIGURE 7 X-ray of 57-year-old man with a slight increase in the breadth of the superior mediastinum and a narrow trachea, interpreted as due to compression. Diseases of the Chest  , DOI: ( /chest ) Copyright © 1959 The American College of Chest Physicians Terms and Conditions

8 FIGURE 8 X-ray of 20-year-old man with a thin-walled, benign cyst to the right in the mediastinum. Diseases of the Chest  , DOI: ( /chest ) Copyright © 1959 The American College of Chest Physicians Terms and Conditions

9 FIGURE 9 Photograph of a 52-year-old man with a plum-sized tumor in the left upper lobe and increased density paratracheally on the right side. Diseases of the Chest  , DOI: ( /chest ) Copyright © 1959 The American College of Chest Physicians Terms and Conditions


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