Acromegaly and gigantism in the medical literature. Case descriptions in the era before and the early years after the initial publication of Pierre Marie (1886)

In 1886 Pierre Marie used the term “acromegaly” for the first time and gave a full description of the characteristic clinical picture. However several others had already given clear clinical descriptions before him and sometimes had given the disease other names. After 1886, it gradually became clear that pituitary enlargement (caused by a pituitary adenoma) was the cause and not the consequence of acromegaly, as initially thought. Pituitary adenomas could be found in the great majority of cases. It also became clear that acromegaly and gigantism were the same disease but occurring at different stages of life and not different diseases as initially thought. At the end of the 19th and beginning of the 20th century most information was derived from case descriptions and post-mortem examinations of patients with acromegaly or (famous) patients with gigantism. The stage was set for further research into the pathogenesis, diagnosis and therapy of acromegaly and gigantism

Living instruments and theoretical terms : Xenografts as measurements in cancer research

I discuss the relationship between theoretical terms and measuring devices using a very peculiar example from biomedical research: cancer transplantation models. I do so through two complementary comparisons. I first show how a historical case study can shed light on a similar case from contemporary biomedical research. But I also compare both to a paradigmatic case of measurement in the physical sciences -- thermometry -- which reveals some of the most relevant epistemological issues. The comparison offers arguments for the recent debate on the operational definition of Cancer Stem Cells, and thereby suggests the relevance of a comparative approach in the history and philosophy of science