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      82                                   THE ENZYME TREATMENT OF CANCER

 

microscopical preparations of a sacral teratoma from the Giessen collection, with brain, mouth, trachea, esophagus, stomach, gut, and large pancreas gland present. The teratomata or embryomata undoubtedly pass gradually over into the teratoids of the sexual organs, in which, according to Wilms, along with more or less normal development of embryonic organs, one encounters in other parts of the tumour riotous pathological growth. While, on the one hand, the teratoid tumours pass gradually into the highly organized embryomata, on the other hand, according to Wilms, “we have certainly also in the testis, as I have already sufficiently emphasized for the mixed tumours of the kidney and the parotid, all possible transi­tions, from the most complicated embryoid forms down to the simple ones.”

The mixed tumours here referred to by Wilms—the tumours into whose nature and characters he has carried out such brilliant observations—furnish the key to the problem of the etiology of the tumours in general. Wilms’s writings upon the mixed tumours of the kidney, vagina, uterus, mammary gland, and parotid, are of intense interest, even to the embryologist. To my mind they justify completely his conclusion that they and the embryomata are of like etiology (loc. cit., p. 270). In his further attempts to trace their embryological history one cannot agree with him; for, just as he derives the embryomata from blastomeres (of the embryo), and not from vagrant germ-cells, so he assigns as the origin of the mixed tumours “ shunted germs” of later and later periods. Certain of the vagrant germ-cells, defined later on, amply suffice to account for the mixed tumours also ; indeed, the basis for these and other tumours may be found in (1) the actual existence of vagrant and aberrant germ-cells, and (2) the embryological fact that

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