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May 22, 1909


Author Affiliations

Professor or the Principles of Surgery and Clinical Surgery, Medico-Chirurgical College; Surgeon to Presbyterian, Jewish and Philadelphia General Hospitals PHILADELPHIA

JAMA. 1909;LII(21):1648-1659. doi:10.1001/jama.1909.25420470014001d

It is manifest that only a few of the more important and fairly well-demonstrated features of carcinoma can claim our consideration. It would be profitless to wander into the attractive yet elusive field of the etiology of carcinoma in general. While much has been written during the past year tending to show the parasitic origin of cancer, I am still of the opinion, as I have ever been, that the arguments of those who can see nothing in carcinoma but a germ disease are, to say the least, inconclusive. Attractive as this subject is and as much as I should like to discuss it, there are other features of cancer about which there is less ground for speculation and concerning which a discussion on this occasion is both more apposite and germane. We, as practitioners of medicine and surgery can safely leave this most important, yet unsolved, problem in the