. Archives of physical medicine and rehabilitation . stinal mass was ex-istent but not extensive. Spleen waseasily palpable throughout nearly theentire course of observation until veryrecently. No direct evidence of per-sonal tuberculosis existed, skin testsalso being negative, but father andtwo uncles had this disease. Duringthe year previous to entering the Uni-versity Hospital a few treatments withx-ray had been given but it was im-possible to ascertain the details. Notreatments seem to have occurred with-in the last six months. First adenec-tomy revealed the following histology: (556) Sect


. Archives of physical medicine and rehabilitation . stinal mass was ex-istent but not extensive. Spleen waseasily palpable throughout nearly theentire course of observation until veryrecently. No direct evidence of per-sonal tuberculosis existed, skin testsalso being negative, but father andtwo uncles had this disease. Duringthe year previous to entering the Uni-versity Hospital a few treatments withx-ray had been given but it was im-possible to ascertain the details. Notreatments seem to have occurred with-in the last six months. First adenec-tomy revealed the following histology: (556) Section is surrounded by a youngfibrocellular capsule which lies almost directlyupon a fibrocellular mass not recognizable aslymph node and separated only in a fewplaces by rifts probably remnants of the mar-ginal sinus. Trabeculae are very indefinitesince there are so many irregular bands ofconnective tissue (see below). Follicles assuch are not present but there are some in-definite groups of adult lymphocytes, possibly :t ^•v J«?n;5t^V»^^^SSfj^V. Fig- 5—Case III—A. P. No. 556: ailenectoinvHodgkins disease of two years standing with fine diffusefibrosi^i! and moderate eosinophilia. Had a few .T-rav exposuresseveral months hefore this gland was /l—^?* Ill—.\. P. Xo. .i77: Gland adjoining that shown , ;)a6 after two weeks daily x-ray treatment. Disappearanceof large mononuclears and eosinophiles. Coarse fibrosis notespecially perivascular. Small mononuclears somewhat largerand with more protoplasm. Active Pig. 7—Case IV—S. O. No. 552: Adeneclonplasia of lymph node diagnosed as leul<emialeukemic. Cells 7 to 10 microns. r. Uniform hyper-hyperplasia. Case joining No. 552 four weeks later, but after ten successive daysx-ray treatment and four days of pneumonia. Note appearanceFje- S—Case IV—.S. O. Xo. : Postmortem gland. Gland ad-of large mononuclears in lacuna and greater vascularity thanNo. 552. Small mononuclears the same size. 263


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