Review Lecture - Cancer — the elusive enemy
The evolution of multicellular organisms involves the possibility that what Professor Stoker in his recent Leeuwenhoek lecture (Stoker 1972) referred to as asocial cells may arise, i.e. cells which possess selective advantages in respect of their own survival but are disadvantageous as regards survival of the organism as a whole. Cancer provides a striking, though not unique, example of this phenomenon. The label enemy , which would certainly not be challenged by a patient with cancer or a clinician, seems therefore not inappropriate even in a strictly biological context. The reasons for the qualification elusive , which according to the O.E.D. connotes among other things the capacity ‘to escape adroitly from ’, will, I hope, become apparent in the course of the lecture, the main purpose of which is to consider where conventional methods of treating cancer fail and how they might be improved. In the course of this inquiry we shall have to consider also the question of the existence and nature of homeostatic mechanisms for the elimination or immobilization of asocial cells because, in so far as such mechanisms do exist, the risk of weakening them, and, on the other hand, the possibility of strengthening or supplementing them, become important considerations both in assessing existing therapeutic procedures and developing new ones.