A system of practical medicine. By American authors. Vol. 1 : $b Pathology and general diseases
History
A system of practical medicine. By American authors. Vol. 1 : $b Pathology and general diseases
Medicine -- Practice
In a consideration of the general pathology of morbid growths the
first question which suggests itself relates to the method of origin
of the tumor. The tendency of the present seeks for a local cause, and
the most recent theory, that of Cohnheim, demands an accumulation of
dormant embryonal cells as such a cause. Cohnheim supports this view
by the experiments of Zahn and Leopold, which show that foetal
cartilage transplanted into the tissues of a mature animal may grow so
rapidly as to present the characteristics of a cartilaginous tumor,
while tissues transferred from the animal after birth do not increase
in size, but are usually absorbed.
As the active elements of the growth are cells, and all cells
admissibly arise from pre-existing cells, it follows that the
primitive cells of a tumor are derived from those resulting from the
segmentation of the ovum or are introduced from without. Numerous
experiments have been made with a view to the inoculation of tumors,
the transplantation of living fragments of the latter to the living
tissues of a healthy individual, for the sake of producing a tumor,
but hitherto almost invariably without success. The alternative
remains that the embryonal cells are those whose derivatives are
present in, and form the essential element of, the morbid growth. All
tumors may thus be said to have an embryonal origin. As the
segmentation of the ovum eventually results in the production of
normal tissues and groups of tissues whose structure and function are
wholly different, so the possibility of the production of abnormal
groupings of tissue with corresponding irregular manifestations of
function is obvious.
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