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This volume presents the Proceedings of the University of Chicago's
third Cancer Training Grant supported Teaching Symposium. This
Symposium received much of its support from grant number T12 CA
08077-02. Most of the planning of the Symposium and most of the
local editing of the Proceedings was carried out by Dr. R. J.
Michael Fry of the A.E.C. Argonne National Laboratory and by two
members of the Advisory Committee of the Cancer Training Grant,
Drs. Melvin Griem and Werner Kirsten. They carried the main
responsibility for the Symposium. The subject of the Symposium,
"Normal and Malignant Cell Growth," was chosen because, as the
Proceedings reflect, it is a rapidly advancing field of endeavor
which is of utmost importance to the understanding of the processes
of malignant neoplasia. In fact, there is increasing evidence that
knowledge of the kinetics of the cancer cell will greatly influence
approaches to cancer therapy. Like the first two of these Teaching
Symposia held in 1964 and 1966, this one attracted about 400
students and staff from this medical institution as well as from
other medical centers in the Chicago area. The effective interplay
of an excellent group of scientists with a lively and responsive
audience was evident as they considered together a topic of great
current interest in the field of neoplasia. Much of the credit for
the smooth organization and implementation of the Symposium must go
to Mrs.
This volume summarizes the Proceedings of the fourth biennial
Cancer Teaching Symposium held on March 7 and 8, 1970, at the
University of Chicago Pritzker School of Medicine. The program was
prepared by Drs. LAWRENCE ALLEN, MELVIN GRIEM, WERNER KIRSTEN, LEON
JACOBSON, JOHN ULTMANN, ROBERT WISSLER, and STANLEY Y ACHNIN. The
purpose of the Symposium was to present current advances in the
area of lymphoma and leukemia to the staff and students of this
medical center and to students and interested physicians from other
institutions in the Chicago area. Like the other teaching symposia
held in 1964, 1966, and 1968, this Symposium attracted over 450
physicians and scientists. In the course of one and a half days the
audience had the opportunity to listen to the twenty-four invited
speakers and to lively discussions. The formal presentations as
well as discussions are recorded in these pages. This Teaching
Symposium could not have been undertaken without the faithful
assistance of the Program Committee, the Cancer Training Grant
Advisory Com mittee, the staff who recorded and transcribed the
Proceedings, and the editorial assistants. We wish to thank the
following for their efforts: DOROTHY A. WILLIS, Administrative
Secretary for Institutional Cancer Training Grant, Dr. ROBERT L.
HUNTER, Dr. ROBERT H. KIRSCHNER, Dr. ROBERT A. ORLANDO, Dr. STEPHEN
STRUM, RANDOLPH HUGHES, JULIA KANT, GEORGIA MOHR, TERRY PEARSON,
FRIEDA RANNEY, and CAROL REESE. This Symposium received financial
support from the Cancer Training Program Tt2 CA 08077-04 and The
Chicago Tumor Institute."
(North American) Blastomycosis is caused by the dimorphic fungus
Blastomyces dermati- tidis, first described by Gilchrist andStokes
in 1896. The perfect stage was grown by Mc- Donough and Lewis in
1967 and is known as Ajellomyces dermatitidis. In the body and on
appropriate media at 37 C, the organism presents itself as a round,
thick-walled budding yeast cell, characteristically with a broad
porus between mother and daughter cells. The yeast cell is
multinucleated. For many years, North America was assumed to be the
only place where blastomycosis was found, but recent demonstration
of indigenous African cases changed this impression (Emmons et al.,
1964). Within the United States, more cases are seen in Kentucky,
Ohio, the Carolinas, Illinois, Michigan, Wisconsin, Iowa,
Tennessee, Arkansas, and the Virginias than in the remainder of the
country (Chick, 1971). In Mexico, occasionally, and in the
provinces of Canada adjacent to the endemic areas of the United
States, endemic blasto- mycosis has been recognized. Soil has been
long suspected as the habitat for the fungus, but recovery from
soil has seldom been successful (Denton and Di Salvo, 1964). The
primary infection is, as a rule, pulmonary with frequent secondary
foci in skin, bone, male genital system, and, eventually, spares no
organ in widely disseminated cases. The rare cases of primary
cutaneous blastomycosis are consequences of accidental percutaneous
laboratory infection. These can be clinically easily differentiated
from the average case of secondary hematogenous spread to the skin
(Landay and Schwarz, 1971).
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