Cancer: Its Cause and Treatment, Volume 1 (of 2)Bulkley, Lucius Duncan
Science
Cancer: Its Cause and Treatment, Volume 1 (of 2)
Bulkley, Lucius Duncan
Cancer
A number of studies have been made upon the nitrogen partition in cancer
by Einhorn, Kahn, and Rosenblum, also by De Bloeme, Swart, and Terwen,
and others, showing an increase in colloid nitrogen, to more than double
the normal amount, increased elimination of xanthin, oxyproteic acid,
and urinary ammonia, together with many other changes which show that
disintegration of the protein elements is very imperfect and often
excessive. An interesting statement is made by Blumenthal that the
oxyproteic acids are increased even in very early cancer, and
independently of the size of the tumor and degree of cachexia, seemingly
showing them to have some specificity for cancer, because they have not
been found in other forms of malignancy. He also states that urobilin is
increased in a large proportion of cases of cancer, especially when
cachexia is setting in, and is a grave symptom.
Reid, who has confirmed many of these matters reported by others, says:
“I have found an increase of amino-acid nitrogen in practically every
case of cancer I have examined”; ... “Hence we can only infer that in
cancer, the liver, while not involved in the disease, is still unable,
for some reason, to perform its functions in synthetizing urea. The
organ is functionally injured, no lesions having been found to explain
its insufficiency”; or possibly ... “cancerous subjects form proteids
which the liver is unable to deal with, so that they are excreted
unchanged, or nearly so.” Degrez has made confirmatory studies along
these lines, and found the nitrogen disintegration very imperfect, with
increase of the ammonia fraction of nitrogen, and increased elimination
of xanthin bases. He states that “the toxicity of the urine is increased
apparently as the result of the presence of substances which have not
been fully oxidized.”
Notable changes have also been recorded concerning the _sulphur_
elements in the urine, with a great increase in neutral (unoxidized)
sulphur and a considerable excess of sulpho-cyanic acid, together with
an increase in sulphates and indican showing the results of intestinal
fermentation of protein elements, which also I have constantly observed.
The _chlorides_, on the other hand, are, as a rule, diminished in
cancer, especially in its late stages, when there is inanition or kidney
insufficiency; and probably any change in them has only a relation to
the nutrition of the patients, for the chlorides come from the food and
are commonly an index of the amount of nutriment absorbed. Robin finds
some relation between the excretion of chlorine and nitrogen, according
to the stage or degree in which the system is affected by cancer.
Public-domain text, read in full here on John Shaqi.
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