Since the introduction of microscopic examination of tumours, many res
earchers have dealt with the relationship between cancer cells and con
nective tissue. Rudolf Virchow's opinion that carcinomas derive from c
onnective tissue was soon disproved by the studies of Cornil, Thiersch
, and Waldeyer, but no clue was provided to the reason for the invasio
n of the epithelium. Julius Cohnheim and particularly Hugo Ribbert wer
e of the opinion that invasion of the epithelium was only possible in
the case of a primarily altered connective tissue. Ultimately the stro
ma determines malignant growth. From 1902, Max Borst finally formulate
d the views on tumour-stroma-relationship that are still valid today a
nd postulated interrelations which can only be proved and confirmed by
modern molecular biological methods.