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The doctor can examine the inside of the chest with a special instrument called a thoracoscope. It is shown here on the side of the pleura diaphragmatic leaves are several tanning white pleural plaques. Some pressure can be felt but usually there is no pain. . For example smokers with a history of exposure to asbestos have a risk times greater risk of developing lung cancer. Ingestion of these fibers by macrophages triggers a response by fiber release of growth factors that promote collagen deposition by fibroblasts.
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