u.s. Noun
“ It was extraordinarily satisfying , “ says Dr. Knudson , now at Fox Chase Cancer Research Center in Philadelphia .
“ I was convinced that what was true of retinoblastoma would be true for all cancers . “
It was an audacious claim .
But in Baltimore , Dr. Vogelstein , a young molecular biologist at Johns Hopkins Medical School , believed Dr. Knudson was right , and set out to repeat the Cavenee experiment in cells from other cancers .
His was one of two research teams in 1984 to report dual chromosome losses for a rare childhood cancer of the kidney called Wilm 's tumor .
Dr. Vogelstein next turned his attention colon cancer , the second biggest cancer killer in the U.S. after lung cancer .
He believed colon cancer might also arise from multiple “ hits “ on cancer suppressor genes , because it often seems to develop in stages .
It often is preceded by the development of polyps in the bowel , which in some cases become increasingly malignant in identifiable stages -- progressing from less severe to deadly -- as though a cascade of genetic damage might be occurring .