Death due to gross vascular perforation by pulmonary carcinoma.

This brief historical data of a patient dying of severe hematemesis as a result of broncho-esophago-aortal fistula in primary pulmonary cavitating carcinoma is presented. It indicates that the elastic wall of the arteries even that of the aorta, is not a barrier to the penetration of the malignant cells. The neoplasm was in an advanced stage with gross vascular involvement but distant metastases did not occur even in microscopic examination. Liomyoma of the uterus was associated with lung carcinoma.