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BONE IN HODGKIN'S DISEASE
SYDNEY M. CONE
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The Pathological Laboratory of the University of Maryland
The Journal of Bone & Joint Surgery.  1927; 9:458-464 
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Abstract

The evidences of Hodgkin's disease in the bones as in spleen, liver, etc., are inconstant in appearance. The principal change is a progressive tissue formation (fibrous). Some new bone formed in one case. Coagulation necrosis, simple oedema and the presence of polymorphonuclear leucocytes indicate a more intense poisoning. The greater implication of the reticuloendothelial system, the presence of Dorothy Reed giant cells is more specifically a Hodgkin's disease involvement. There are more small round cells than seen in bone as a rule. Eosinophils are present in undue numbers. The bone matrix evidences oedema, bone cell activity and little necrosis. These are also erratic in location and severity. The vascular system is more involved than in common inflammation. Besides the hyperaemia, oedema and capillary hemorrhage with the breaking down of blood, there is seen thrombosis of the venous sinuses.

The polymorphonuclear leucocytes in the bone as in lymph glands of Hodgkin's disease are erratic in location and variable in numbers.

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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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