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ly shut off (J.F. Cohnheim); (3) they are epithelial cells with a latent power of unlimited proliferation which becomes active on their being dislocated from the normal association (M.W.H. Ribbert and Borrmann); (4) they are stimulated to unlimited growth by the presence of a parasite (Plimmer, Sanfelice, Roncali and others); (5) they are fragments of reproductive tissue (G.T. Beatson); (6) they are cells which have lost their differentiated character and assumed elementary properties (von Hausemann, O. Hertwig). The very number and variety of hypotheses show that none is established. Most of them attempt to explain the growth but not the origin of the disease. The hypothesis of a parasitic origin, suggested by recent discoveries in relation to other diseases, has attracted much attention; but the observed phenomena of cancerous growths are not in keeping with those of all known parasitic diseases, and the theory is now somewhat discredited. A more recent theory that cancer is due to failure of the normal secretions of the pancreas has not met with much acceptance. Some generalizations bearing on the problem have been drawn from the work done in the laboratories of the Imperial Cancer Research Fund. They may be summarily stated thus. Cancer has been shown to be an identical process in all vertebrates (including fishes), and to develop at a time which conforms in a striking manner to the limits imposed by the long or short compass of life in different animals. Cancerous tissue can be artificially propagated in the short-lived mouse by actual transference to another individual, but only to one of the same species. Cancerous tissue thus propagated presents all the characteristic features of the malignant growth of sporadic tumours; it infiltrates and produces extensive secondary growths. Under suitable experimental conditions the aggregate growth of a cancer is undefined, of enormous and, so far as we can judge, of limitless amount. This extraordinary growth is due to the continued proliferation of cancerous cells when transplanted. The processes by which growing cancer cells are transferred to a new individual are easily distinguishable and fundamentally different from all known processes of infection. The artificial propagation of cancer causes no specific symptoms of illness in the animal in which it proceeds. Under artificial propagation cancer maintains all the characters of the original tumours of the primary hosts.
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