The patriarch of experimental pancreas research is REIGNIER DE GRAAF (1641-1673). He carried out the first experiments with dogs in order to ob tain fistular secretion (1664). But only few years later, the just arisen interest in the physiology of the pancreas was severely set back by remarks of CONRAD BRUNNER. In 1682, BRUNNER expressed his belief that on the basis of experi ments he had carried out the pancreas was a vitally unimportant organ. He overlooked that after ligation of the main duct (discovered in the turkey by HOFMAN in 1641 and in a human cadaver by WIRSUNG in 1642), in the dog an accessory duct (described by SANTORINI in 1724) usually maintains an adequate flow of secretion. EBERLE in his monograph (1834) confirmed the emulsifying capacity of the pancreatic juice which had already been suggested by SYLVIUS (FRAN CISCUS DE LE BOE, 1614-1672) and he dealt with the essential enzymatic functions of the pancreatic juice such as amylolysis, lipolysis and proteolysis. Since HEIDENHAIN (1875), we know that for example trypsin (largely isolated by KUHNE in 1867) is situated in the acinar epithelial cells as zymogen in inactive form; it is thought that the action of "acid" on the glandular tissue is needed for inducing the "enzymatic activity." According to what we know now about the central role of acidosis in the activation of zymogen this topic is, of course, of topical interest."

Beim vorliegenden Band "Immunreaktionen" ging es in erster Linie darum, einen Fortschrittsbericht zusammenzustellen, in dem Forscherpersonlichkeiten aus dem englischen und deutschen Sprachbereich die neuesten Ergebnisse auf ihrem Arbeitsgebiet schildern und diskutieren. Es werden in diesem Erganzungs- band somit Themen behandelt, die in den Banden "Entzundung und Immunitat" (1956) und "Oberempfindlichkeit und Immunitat" (1967) bereits besprochen sind. Besonders berucksichtigt wurden jene Forschungsgebiete, die wertvolle Erweite- rungen erfahren haben, verlangt doch del' rasante Fortschritt in del' Forschung nach Darstellung neuer wissenschaftlicher Erkenntnisse in zusammenfassender Form. Dabei wurde Wert auf personliche MeinungsauBerung gelegt, auch dort, wo unkonventionelle Auffassungen vertreten werden. DcI' erste Beitrag von B. Roos, Pretoria und Bern, gibt AufschluB uber die Makrophagen in bezug auf Herkunft, Entwicklung und Funktion. Del' Autor befaf3t Hich mit del' Phylogenese phagocytierender Zellsysteme und beleuchtet die OntogeneHe der Makrophageh. Besondere Abschnitte widmet er den Eigen- Hchaften del' Makrophagen und den biochemischen V organgen und strukturellen Veranderungen wahrend der Phagocytose und Pinoeytose sowie den Funktionen del' Makrophagen und ihl'er Beeinflussung dureh endogene und exogene Faktoren. Die Arbeit basiert auf neuen Forschungsergebnissen; es handelt sich also um einen Fortschrittsbericht, wobei darauf geachtet wurde, daB Oberschneidungen mit den groBen Obersichtsarbeiten von LETTERER (1956, 1967) vermieden wurden.

This second volume reports on the reaction patterns of lymph nodes in neoplastic and immunodeficient diseases. Based on the contents of volume 1, it presents a detailed survey of lymph node structures and their cellular components under these conditions. The patterns of nodal reactions to the development and spread of cancer have recently been investigated and discussed by several authors. Here, the immediate interactions between tumor tissue and the regional nodes have been assessed in experimental models and in human material. Using modern morphological methods such as im munohistochemistry on the light and electron microscopic level, new insights have been gained into the stepwise process of lymphogenous metastasis. Macrophages/reticulum cells were found to playa signifi cant role in this process, which is duly emphasized. Based on appro priate animal models, one chapter focuses on various subtypes of these cellular elements and their role in the two separate phases of tumor spread and the development of true metastases. The induction of fibronectin in lymph nodes is effected by tumor cells forming a special part of the extracellular matrix. The multifunctional fibronec tin molecule serves as a mediator between tumor cells and fibroblasts, furthering the formation of tumor stroma. This volume also contains a comprehensive survey of primary im munodeficiency syndromes and their nodal manifestations, reference being made to the most recent immunological knowledge."

Close cooperation between those involved in clinical treatment and pathology is imperative in head and neck surgery, as in all surgical fields. The degree of cooperation depends, on the one hand, on the knowledge that the head and neck surgeon has about the possibilities and limits that confront the pathologist, and on the other hand, on the knowledge that the pathologist has about the special problems of head and neck pathology and their management by the surgeon. Within the last 15 years, the knowledge of larynx growths and their treatment has changed rapidly. Parallel to this increase in knowledge, the technical possibilities in histopathology have also increased. For this reason, the authors of this volume present an up-to-date view of the whole scope of the pathology and clinical treatment of larynx tumours.

In 1967 cardiologists in Switzerland were struck by the sudden increase in the number of cases of so-called primary pulmonary hypertensive disease (PPHD). Up untill966, the cardiology centers in Switzerland had not seen more than one or two cases a year, but this number suddenly multiplied by ten or twenty times. At the June 1968 meeting ofthe Swiss Society of Cardiology, Gurtner et al. (1968b) presented a paper which raised the question whether the vascular types of cor pulmonale had increased. They also raised the question about the possible responsibility of environmental factors, such as toxins or drugs, in causing this increase. Krrihenbuhl et al. (1968) first suggested the possible responsibility of anorexigenic drugs, but no proof was provided. Soon after this, the cardiology team in Bem (Gurtner et al., 1968a) published their report, which resumed and completed the above-mentioned prelim inary communication; 31 cases of PPHD, among which 17 had taken an anorexigenic drug, aminorex fumarate (Menocil, Cilag), were reported. The importance of this work was soon recognized and it was followed by several meetings (in Vienna, Hannover, and Burgenstock) and two round tables sponsored by the Swiss Society of Cardiology (in Montreux and Basel)."

Toxoplasmosis is a ubiquitous infection, contracted by at least a third of the population in most areas of the globe. Clinical disease arises rarely, usually unexpectedly, but sometimes with disastrous effects on the patient. Humans, pets, farm and zoo animals may contract toxoplasmosis, possibly involving any clinical laboratory in its diagnosis. Pathologists must ponder the clinical significance of a hyperplastic l. ymph node, a cyst found at autopsy, or a serologic titer. Serving as scientific physicians, pathologists are asked: How is toxoplasmosis diagnosed? 'What is the treatment for ocular toxoplasmosis, for congenital infection, or for toxoplasmosis in the immunologically compromised host? vVhy does disease develop in as diverse areas as the eye, lymph nodes and placenta? How is Toxoplasma transmitted? This review proposes to survey recent advances, providing a scientific background to diagnose and manage the clinical problems of toxoplasmosis. Reviews are available which emphasize other aspects, such as serologic pro cedures, resistance and immunity (REMINGTON, 1970), the clinical syndromes (DESMONTS, '1969; FELDMAN, 1968) and comprehensive presentations (JACOBS, 1967; FRENI{EL, '1970). Transmission and Prevalence The recent discovery of the coccidian stages of Toxoplasma in the cat intestine and the Toxoplasma oocyst excreted in cat feces, considerably broadens our understanding of Toxoplasma and its transmission (FRENKEL, DUBEY and MILLER, 1970)."

Die Orthologie und Pathologie des Wachstums und der Differenzierung waren schon Gegenstand des 1955 erschienenen Bandes VI!I dieses Handbuches. Seine von Biologen und Pathologen verfassten Kapitel stutzten sieh auf die Ergebnisse der klassischen Morphologie. Die morphologischen Probleme des Wachstums standen dabei ganz im Mittelpunkt. Mit der systematischen Anwendung biochemischer Methoden, der Histo- autoradiographie zur Markierung der Reduplikationsphase der DNS sowie der RNS- und Protein-Synthese, der Cytophotometrie zur quantitativen Messung der Nueleinsauren und schliesslich der elektronenmikroskopischen Cytologie standen in der Erforschung der Orthologie und Pathologie des Wachstums seit einem .Jahrzehnt Methoden von vorher ungeahnter Aussagekraft zur Velfugung. So wird jeder, der sich in den vorliegenden Band vertieft, feststellen, dass der Einsatz dieser Methoden zu einer sturmischen Entfaltung der Erforschung von Wachstum und Differenzierung gefuhrt hat. In der Konfrontierung dieses Bandes mit dem 1955 erschienenen wird er zugleich voller Respekt erkennen, wievieles schon in der klassischen Biologie und Pathologie zu diesem Thema grundgelegt war und bis heute fortwirkt. Im ersten Beitrag des vorliegenden Bandes vermittelt R. SCH1NDLER-Bern einen UEberblick uber die Biochemie der Regeneration. Er berichtet uber Struktur und Synthese der DNS, deren Stoerungen durch chemische Faktoren und strahlende Energie, eroertert die RNS-Synthese sowie die Synthese der Proteine und ihre Stoerungen. Ausfuhrlich stellt er dann die Regulation und den Ablauf der biochemischen Vorgange wahrend der Regenerationsprozesse am Beispiel der Oberflachenepithelien, der Zellkulturen und bei der Leberregeneration dar und behandelt schliesslich die Frage nach den Proliferations-ausloesenden bio- chemischen Faktoren.