. American practice of surgery ; a complete system of the science and art of surgery . so become tuberculous; and that hyperplastic inflammation is one ofthe accompaniments of tuberculous inflammation. Several observers* have found that enlarged nodes, in which tuberculosiswas not detected by the microscope, have nevertheless given rise to a tuber-culous infection when injected intp guinea-pigs. This indicates the probabilitythat much of the so-called simple hyperplasia is really in a large measure dueto tuberculous infection. *Blos, in Mittheil. aus den Grenzgebieten der Med. und Chir., iv.,
. American practice of surgery ; a complete system of the science and art of surgery . so become tuberculous; and that hyperplastic inflammation is one ofthe accompaniments of tuberculous inflammation. Several observers* have found that enlarged nodes, in which tuberculosiswas not detected by the microscope, have nevertheless given rise to a tuber-culous infection when injected intp guinea-pigs. This indicates the probabilitythat much of the so-called simple hyperplasia is really in a large measure dueto tuberculous infection. *Blos, in Mittheil. aus den Grenzgebieten der Med. und Chir., iv., p. 520. See Posen-berger, in Am. Jour. Med. Sc, July, 1905, p. 95. SURGICAL DISEASES OF THE LYMPHATICS. 545 The nodes manifest great differences in tlie extent to which they are adher-ent to the surroiuuhng tissues. When tlie inflammation has existed for a longperiod the adhesions are usually much firmer and much more abundant thanin the recent cases; indeed, the prognosis can in a measure be based on thedensity of these adhesions for the cases in which dense adhesions surround the.
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