Nine cases in which resection has been performed for pulmonary metastases are described.
Five are dead at intervals of 2, 6, 8, 21 and 22 months respectively after the pulmonary resection.
Four are alive, three without any sign of recurrence, and one who has had deep X-ray therapy to the site of the original primary. Three of these survivors have gone five or more years since the lung resection and the other has survived two years.
A series of 286 cases of pulmonary neoplasm, undergoing surgical treatment, has been investigated to determine the incidence and ˦tiology of disturbances of cardiac rhythm.
Fifty-nine patients, or 20·6 per cent., developed ectopic rhythms, all of which were supraventricular in type.
Auricular fibrillation was the commonest arrhythmia occurring in 41 patients (70 per cent.). Auricular fibrillation and flutter together accounted for 52 (88 per cent.) of the total of 59 arrhythmias.
Most occurred in the first post-operative week (85 per cent.) and all within two weeks. The average duration was four days.
In 2 patients death was directly attributed to the arrhythmia.
Permanent arrhythmia developed in only 2 patients, both of whom had paroxysms of auricular fibrillation before operation.
The main factors of ˦tiological importance were pre-operative cardiovascular disorders, particularly rhythm and conduction disturbances, and various post-operative complications causing anoxia and vagal reflexes.
The management and prevention of the rhythm disorders is discussed.
A case of neurolemmoma of the right phrenic nerve is reported. The literature relating to this condition is briefly reviewed and the diagnosis and treatment is discussed.
The results obtained in a personal series of 75 patients treated with chemotherapy alone (streptomycin, PAS and isoniazid) for at least one year are reported.
At the end of the observation period 69 patients (92 per cent.) were “quiescent,” 5 were “active” and 1 was dead. No patients relapsed after completing treatment.
A child immunised with BCG contracted miliary tuberculosis from which he died.
The sequence of events showed that either he suffered superinfection from an outside source which broke down his resistance, or his disease was caused by the BCG.
Recorded deaths from BCG are briefly discussed; this child's illness is contrasted with them.
The evidence does not implicate the BCG as the cause of the disease.
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