“…Many have argued for orthotopic implantation directly into the mammary fat pad under direct vision (ODV) so that cancer cells can benefit from the microenvironment of the organ of origin [8,12-14,21, 41-44 ], the majority use either ectopic subcutaneous injection (SQ) [4,7,10,11,14, 45 , 46 ] or percutaneous injection blindly in the area of the nipple in attempt to implant the cells into the mammary fat pad (OP) [19]. Although advocates of ODV have argued that tumor microenvironment matters in drug development and have even cited multiple examples of SQ limiting the viability of cell lines, and despite evidence that ODV promotes progression and metastasis more efficiently than SQ [4,11-13,21, 42-44,46-53 ], until recently research has not focused on critically examining these models [4,5,7,10-13, 33 , 36 , 52-68 ]. In fact, over the last 20 years while the above evidence has been reported in favor of ODV, there has been a shift away from ODV towards SQ and OP [19], even though there is evidence that orthotopic models correlate with the bioavailability of therapeutics in the host's organ of origin [4,13] and that ectopic implantation in other cancers produced false positive results that were later contradicted by orthotopic implantation[ 64,65,69 ] and human clinical trials [7, 59,69-77 ].…”