RT Journal A1 MEYER W T1 PRimary cancer of the lung JF Archives of Surgery JO Archives of Surgery YR 1929 FD January 1 VO 18 IS 1_PART_II SP 307 OP 314 DO 10.1001/archsurg.1929.04420020129009 UL http://dx.doi.org/10.1001/archsurg.1929.04420020129009 AB The most tormenting types of advanced cancer known in medical science are those of the tubes through which food and oxygen—the two factors that sustain life—are introduced into the system, cancer of the esophagus and cancer of the bronchial tree.In advanced cancer of the esophagus, gastrostomy as a palliative operation opens a by-path for the introduction of food and brings to the affected area rest and the elimination of irritation, although the swallowing of the ever reaccumulating saliva down to, or past, the obstructing tumor, remains as a source of constant annoyance to the patient.But in advanced cancer of the bronchial tree with its usual intrapulmonary suppuration there is no chance of creating a substitute entrance for the ingress and egress of the air. The rate of respiration is from twelve to eighteen times a minute and causes irritation which results in cough and expectoration The patient is