Cedars Sinai Medical Center, Los Angeles, CA, USA.
Virchows Arch. 2013 Sep;463(3):353-65. doi: 10.1007/s00428-013-1442-0. Epub 2013 Jul 26.
Thomas Hodgkin (1798-1865) was one of the leading physicians and scientists of the nineteenth century. A renowned diagnostician, he carried out pioneering work in public health, but devoted the greater part of his career to the study of pathology. His contributions transcend many fields, medical and non-medical, but his most important legacy to medical science was the recognition of the disease that bears his name. The diagnosis of Hodgkin's disease was difficult pending recognition of the "peculiar giant cells" that came to characterize the diagnosis. With identification of the Reed-Sternberg cell, it might have been expected that debate concerning the nature of Hodgkin's disease would be stilled. History proved to the contrary. A fierce controversy ignited with respect to the cellular origin of the Reed-Sternberg cell and the relationship, if any, of Hodgkin's disease to other malignant processes arising in the "absorbent glands and spleen." For a century, arguments ebbed and flowed, reflective of individual opinions and changing concepts, yielding ultimately to new methods for examining and identifying cells.
托马斯·霍奇金(1798-1865 年)是 19 世纪的主要医生和科学家之一。作为一位著名的诊断学家,他在公共卫生领域开展了开创性的工作,但将职业生涯的大部分时间都用于病理学研究。他的贡献超越了医学和非医学领域,但他对医学科学最重要的贡献是认识了以他的名字命名的疾病。在认识到特有的巨细胞之前,霍奇金病的诊断很困难,这些巨细胞成为诊断的特征。随着 Reed-Sternberg 细胞的鉴定,人们可能期望有关霍奇金病性质的争论会平息下来。但事实证明并非如此。对于 Reed-Sternberg 细胞的细胞起源以及霍奇金病与其他在“吸收腺和脾脏”中发生的恶性过程的关系,如果有的话,引发了激烈的争议。一个世纪以来,观点的分歧和变化反映了个人意见和不断变化的概念,最终让位于检查和识别细胞的新方法。