Abstract
The overwhelming majority of patients who die from cancer do so because of metastatic disease. The prevention of cancer deaths is therefore dependent on understanding the mechanism of malignant tumor cell spread from primary tumor sites to distant organ sites. Cancer metastases form by way of a complex series of sequential steps involving a variety of tumor cell and host properties. These steps typically involve growth and invasion of malignant cells at primary sties, followed by their penetration of the lymphatics, the circulatory system, and body cavities. Once in this compartments, the malignant cells can detach and be transported to distant sites. There they can implant and invade surrounding tissues and establish suitable microenvironments for survival and growth.
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Belloni, P.N., Nicolson, G.L. (1992). Role of the Vascular Endothelium in Cancer Metastasis. In: Simionescu, N., Simionescu, M. (eds) Endothelial Cell Dysfunctions. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-0721-9_24
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