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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."
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