CASE HISTORY

The patient had a permanent suprapubic cystostomy in September 1934, for cancer of prostate, and had been attending outpatient department for bladder washouts ever since. Admitted 4.6.35. On account of haematuria and general bad condition. On examination, "signs in lower lobe of right lung posteriorly". Very anaemic and general condition very bad. Became steadily worse, and died 22.6.35.

PATHOLOGY

The specimen consists of the posterior half of the right lung. The cut (anterior) surface of the specimen shows extensive carcinoma in the hilar glands, and extension of the carcinoma in the form of cuffs, round the bronchi throughout the whole of the lowest lobe, and to a less extent into the uppermost lobe. Close examination shows smaller flecks of tumour scattered in the lung substance, especially in the lowest lobe; but these, like the more obvious "cuffs" impress as being the results of a lymphatic spread. At the back of the specimen, and extensive carcinomatosis of the pleura over the lowest lobe is well seen.