Experimental Study of the Pathogenesis

The problem of the etiology of tumors, and in particular of carcinoma, has been investigated for a great many years, but has not yet been solved. Many suggestions have been offered, among which Virchow’s and Cohnheim’s are especially prominent; both of these, however, were the result of clinical experience rather than of experimental study; hence, the adherents of these hypotheses have tried subsequently to establish them by means of experiments, the object of which has been artificially to produce carcinoma. But all attempts have proved negative, until Fibiger (l), of Copenhagen, finally succeeded in producing papilloma and carcinoma in the stomach and the esophagus of rats by infecting them with spiroptera; the origin of these new growths he referred to irritation of the mucous membrane of the stomach and the esophagus by the parasite. Thus the soundness of Virchow’s irritation hypothesis has been demonstrated experimentally for the first time. To this problem we also have devoted ourselves for four years (12, 13, 14, 15, 16, 17, 18, 19, 20), pursuing experiments in accordance with Yamagiwa’s view (2), which he has expressed as follows : The repetition or continuation of chronic irritation may cause a precancerous alteration in epithclium previously normal. If the irritant continue its action, carcinoma may be the outcome, even though no specific agent has been interpolated.