The world-riddle of pathology the past twenty years has been: Is cancer
due to the invasion of a parasite, a veritable microscopic crab, or is
it due to alterations in the communal relations, or, to speak
metaphorically, the allegiance of the cells? Disappointing as it may be,
the balance of proof and the opinion of the ablest and broadest-minded
experts are against the parasitic theory, so far, and becoming more
decidedly so. In other words, cancer appears to be an evil which the
body breeds within itself.
There is absolutely no adequate ground for the tone of lamentation and
the Cassandra-like prophecy which pervade all popular, and a
considerable part of medical, discussion of the race aspects of the
cancer problem. The reasoning of most of these Jeremiahs is something on
this wise: That, inasmuch as the deaths from cancer have apparently
nearly trebled in proportion to the population within the last thirty
years, it only needs a piece of paper and a pencil to be able to figure
out with absolute certainty that in a certain number of decades, at this
geometric ratio, there will be more deaths from cancer than there are
human beings living.
There could be no more striking illustration, both of the dangerousness
of "a little knowledge" and of the absurdity of applying rigid logic to
premises which contain a large percentage of error. Too blind a
confidence in the inerrancy of logic is almost as dangerous as
superstition. Space will not permit us to enter into details, but
suffice it to say:--
First, that expert statisticians are in grave doubt whether this
increase is real or only apparent, due to more accurate diagnosis and
more complete recording of all cases occurring. Certainly a large
proportion of it is due to the gross imperfection of our records thirty
years ago.
Second, that the apparent increase is little greater than that of deaths
due to other diseases of later life, such as nervous, kidney, and heart
diseases. Our heaviest saving of life so far is in the first five-year
period, and more children are surviving to reach the cancer and Bright's
disease age.
Third, that a disease, eighty per cent of whose death-rate occurs after
forty-five years of age, is scarcely likely to threaten the continued
existence of the race.
The nature of the process is a revolt of a group of cells. The cause of
it is legion, for it embraces any influence which may detach the cell
from its normal surroundings,--"isolate it," as one pathologist
expresses it. The cure is early and complete amputation of not only the
rebellious cells, but of the entire organ or region in which they occur.
A cancer is a biologic anomaly. Everywhere else in the cell-state we
find each organ, each part, strictly subordinated, both in form and
function, to the interests of the whole.
Public-domain text, read in full here on John Shaqi.
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