Senescence, the Last Half of LifeHall, G. Stanley (Granville Stanley)
Science
Senescence, the Last Half of Life
Hall, G. Stanley (Granville Stanley)
Geriatrics
Granting the foregoing statements regarding the anatomy and biology of
old age to be true, Gilford even believes that we can explain cancer
in terms of senility. He says: “Thus the typical cancer is made up of
a collection of cells native to the part, but of more embryonic type,
and these cells are surrounded by collections of round indifferent
cells derived from fibrous tissue and from other low class structures,
such as endothelium and leucocytes.” The fibrous tissue, moreover, is
often increased, as it is in the senile organ. These changes may be
interpreted as follows. Certain somatic cells become aged while the
tissues around them are still in a state of comparative youth. They
express their senility by returning to a more embryonic form, and as
they do so they increase in number, the faculty of multiplication being
one of the manifestations of regression. But as this qualitative change
takes place they become alien to their surroundings and, as foreigners
or rebels, stimulate into action the mechanism of phagocytosis. Not
only is there an incursion of lymphocytes into the parts but the
connective tissue and endothelial cells in their vicinity revert to
their embryonic state and begin the work of phagocytosis. But as a
fact they have to deal with neither the effete products of molecular
degeneration nor with an inert foreign body, for though virtually
strangers cancer cells are by no means inactive. Hence the attack is
abortive, except in so far as the phagocytes, by forming new fibrous
tissue, tend mechanically to limit the proliferation of the cancer
cells. For in the meantime the fixed connective tissue cells are
themselves rapidly proliferating, with the result that when they cease
their activity and return to their resting stage, groups of cancer
cells are cut off by intersecting bundles of fibrous tissue, while
the whole mass is surrounded by an incomplete capsule of the same
structure. This tends to limit the encroachment of the growing cancer,
and were it not for the lymph spaces or capillaries, which are the gaps
through which the growing cells escape, no doubt the limitation and
strangulation of cancers would occur far more often than they do.
It will be noticed that the more nearly the cells of a cancer approach
the embryonic state the more rapid will be the growth, and the less
opportunity for fibrosis the more malignant the cancer. Gilford
maintains for this unique theory that it is satisfactory, based as it
is, upon facts reasonably interpreted, and that it covers all of the
ground.
Public-domain text, read in full here on John Shaqi.
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