Modern surgery, general and operative . culosis is thedisease. Some few believe thatl3anphadenoma is really tuber-culosis, but this view seems tohave been definitely disproved. That the disease is at least similar to sarcoma seems certain. That it isa variety of sarcoma is highly probable. In Hodgkins disease Coleys fluid(the mixed toxins of erysipelas and Bacillus prodigiosus) causes reaction as insarcoma. There is a form of tuberculosis strongly resembling Hodgkins dis-ease, but I do not believe that the two processes are identical. The glandularand splenic enlargements are neoplastic and no
Modern surgery, general and operative . culosis is thedisease. Some few believe thatl3anphadenoma is really tuber-culosis, but this view seems tohave been definitely disproved. That the disease is at least similar to sarcoma seems certain. That it isa variety of sarcoma is highly probable. In Hodgkins disease Coleys fluid(the mixed toxins of erysipelas and Bacillus prodigiosus) causes reaction as insarcoma. There is a form of tuberculosis strongly resembling Hodgkins dis-ease, but I do not believe that the two processes are identical. The glandularand splenic enlargements are neoplastic and not hyperplastic. The new tissueformed iscalled lymphadenoid tissue and, according to Banti, it is often atypical,tends to invade glandular trabeculae and capsules, sometimes adjacent tissue,and gives origin to metastases. Leukemia and pseudoleukemia are closely related, and both, accordingto Banti, are sarcoma. In leukemia the influence that stimulates proliferationfalls chiefly upon the bone-marrow; in Hodgkins disease, upon the lymph-. Fig. 815.—^Spurious elephantiasis. No filariae and lived in Philadelphia. 1252 Diseases and Injuries of the Lymphatics nodes (Neumann, quoted by Coley, in a forceful article maintaining that Hodg-kins disease is a type of sarcoma, Trans. Am. Surg. Assoc, 1908). Symptoms.—The glands in the neck are usually involved first, but thedisease may begin in the axillary glands, the thoracic glands, or the intra-abdominal glands. Two or more regions are sometimes involved simultaneously or almostsimultaneously. When the disease begins in the neck it affects at first one side, and aftermany weeks or months the other side becomes involved. The glands are atfirst hard, separated from each other, movable, and the skin moves freely overthem. Later the large glands weld together and form great masses upon bothsides of the neck and in the axillae, which may obstruct respiration. After a time a very large mass may break through its capsule and infi
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Keywords: ., bookcentury1900, bookdecade1910, bookpublishe, booksubjectsurgery
