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In a previous version of this chapter an incorrect figure was shown for Fig. 2.1. The correct Fig. 2.1 is shown below. The Publisher would like to apologize for this mistake. The original version of the chapter has been corrected accordingly online and in print (see DOI 10.1007/978-3-7091-1824-5_2).

Fig. 2.1
figure 1

Overview of oncogenesis of epithelial tumors. Oncogenesis takes place in context of the tumor microenvironment that includes oxygen tension, pH, nutrient supply, and interactions with other cell types in close proximity of the tumor, such as stromal cells and immune cells. Initiation begins with oncogenic mutations or epigenetic changes in expression of tumor suppressor genes and oncogenes of an epithelial cell, leading to alterations in cancer cell metabolism. Altered metabolism drives the establishment of a primary epithelial tumor which is initially contained within its tissue of origin. Some cancer stem cells undergo EMT, which makes them less sticky and more aggressive, breaking the basal membrane barrier and invading underlying tissues. Some of these mesenchymal tumor cells enter blood vessels (intravasation) and travel in the blood stream as circulating tumor cells. Once they leave the blood stream (extravasation), they form micrometastases in new tissues and organs. Once they undergo MET, they grow into macrometastases or secondary tumors of epithelial origin