Physical oncology (PO) is defined as the study of the role of mechanical signals in a cancerous tumor. The mechanical signals can be forces, pressures ("pull", "push" and "shear" designating the forces / pressures that push, pull or are tangential). If we generalize we will speak of "stress field" and "stress tensor".[1][2][3]
A cancerous tumor (or "solid tumor" in the jargon of oncologists to differentiate them from hematological malignancies) is an organ consisting of two tissues: in the center the cancerous tumor proper and around the ExtraCellular Matrix (ECM), sometimes called stroma, chorion or connective tissue. The concept of connective tissue is interesting because it defines a tissue that travels the entire organism (except the brain) and is a preferred transmitter of mechanical signals. But for the cancer organ - isolated from this connective system - we prefer the term ECM.
The cancerous tissue is derived from a normal tissue of the body: breast cancer arises from a cancerous transformation of the normal mammary glandular tissue. It looks more or less like the original tissue: it is said that it is more or less differentiated; poorly differentiated it has a microscopic appearance that is far from normal tissue and is then "poorly prognostic", will make more metastases and will be more difficult to treat.
We are only considering cancers derived from "epithelia", that is to say the tissue that covers the organs in their interfaces with air, liquids ... or the outside world. Epithelial cells are contiguous and polarized. More than 90% of cancers (breast, prostate, colon / rectum, bronchi, pancreas, etc.) arise from these epithelia after a long process of cancerization.
^Jonietz, Erika (2012-11-21). "Mechanics: The forces of cancer". Nature. 491 (7425): S56–S57. doi:10.1038/491s56a. PMID 23320288.
^"The Forces of Cancer". The Scientist. Retrieved 2017-11-16.
^Wang, Karin; Cai, Li-Heng; Lan, Bo; Fredberg, Jeffrey J (2016-01-28). "Hidden in the mist no more: physical force in cell biology". Nature Methods. 13 (2): 124–125. doi:10.1038/nmeth.3744. ISSN 1548-7105. PMC 4861038. PMID 26820546.
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