766 
tained in this writing, though we must admit, that the nature of 
the available cases were adapted to tempt the writer to draw his 
conclusions. For in the great majority of cases, reported by STERNBERG, 
there was tuberculosis, besides the special granulation tissue described 
by him. As moreover in most cases tubercle bacilli were found in 
the histological preparations and only seldom cocci, which had caused 
no local reaction, so that he supposes them to have multiplied post 
mortem, he concludes: ‘dasz es eine eigenartig verlaufende Form 
der Tuberkulose des lymphatischen Apparates gibt”. 
The fact that there appears the peculiar granulation tissue, as 
described by him, and not a pure tubercular tissue, STERNBERG believes 
to be probably due to higher or lower resistibility of the patient or 
to the virulence of the tubercle bacillus. 
At the “Siebente Tagung der Deutschen Pathologischen Gesellschaft”, 
held in 1904, where this subject was discussed, Benpa') advanced 
the theory that here we have to do with “ein sich den malignen 
Neubildungen näherndes Granulom welches nicht durch einen spezi- 
fischen Infektionstrager, sondern durch die modifizirten oder abge- 
schwächten Toxine verschiedener Infektionstrager hervorgerufen wird”. 
AsKANAzy believes the etiology to be wholly unknown. CHiarr and 
YaMASAKI consider the process as a chronic inflammation whose etiology 
has not been ascertained, but should not be mistaken for tuberenlosis. 
Ascnorr arrives at the conclusion, ‘‘dasz es sich nicht um die gewöhn- 
liche Form der Tuberkulose handelt”, appealing to his failure in produ- 
cing tuberculosis in 5 typical cases by inoculation of caviae. Also STERN- 
BERG qualifies his assertions when he writes: “Wenn auch die seither 
publizirten Fälle diese (his) Auffassung meist bestätigten, so räume 
ich doch gerne ein, dasz die damals von uns gewählte Bezeichnung 
“eigenartige Tuberkulose des lymphatischen Apparates” vielleicht zu 
weit geht. Immerhin glaube ich, dasz ein Zusammenhang zwischen 
dem diesen Fällen zu Grunde liegenden Entzündungsprozess und der 
Tuberkulose nicht von der Hand zu weisen ist”. 
A most valuable addition to our knowledge of malignant granu- 
loma was furnished by E. FRAENKEL and H. Mucu’s?) *) discovery 
of “granuläre Stäbehen”, which they found to be antiformin-resistant 
and Gram-positive. This at first seemed in a high degree confirmatory 
1) 1904 Benpa. Zur Histologie der pseudoleukaemischen Geschwiilste. (Verhandl. 
der D. Path. Ges. 7e Tagung 26—28 Mai). 
2) 1910 E. Fraenxet u. H. Mucu. Bemerkungen zur Aetiologie der Hodgkinschen 
Krankheit und der Leukaemia lymphatica. (Münch. Med. Woch. n°. 19). 
3) 1910 id. id. Ueber die Hodgkinsche Krankheit (Lymphomatosis Granulomatosa) 
insbesondere deren Aetiologie. (Zeitschr. f. Hyg. u. Infekt. Kr. Bd. 67). 
