1984
DOI: 10.1136/bmj.288.6419.749
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Clinicopathological observations on metastasis in man studied in patients treated with peritoneovenous shunts.

Abstract: Fourteen patients with inoperable cancer treated with peritoneovenous shunts for malignant ascites were studied post mortem. Clinical observations and findings at necropsy indicated that peritoneovenous shunting does not result in the establishment of clinically important haematogenous metastases and that metastases do not necessarily develop even when large numbers of viable tumour cells regularly enter the blood.Peritoneovenous shunting provides a unique opportunity for collecting data on the spread of tumou… Show more

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Cited by 74 publications
(26 citation statements)
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“…Some of these sequential steps include invasion through extracellular matrix, intravasation, survival in the circulation, extravasation into a distant site, and progressive growth at that site. Consistent with the multistep nature, there is experimental and clinical evidence to suggest that metastasis is an inefficient process whereby the vast majority of circulating tumor cells are not able to progressively grow at distant sites (3)(4)(5)(6). Related to this is the observation that metastatic cells exhibit tissue tropism, preferring to grow in certain organs in a way that cannot be explained by circulatory patterns alone.…”
Section: Introductionmentioning
confidence: 95%
“…Some of these sequential steps include invasion through extracellular matrix, intravasation, survival in the circulation, extravasation into a distant site, and progressive growth at that site. Consistent with the multistep nature, there is experimental and clinical evidence to suggest that metastasis is an inefficient process whereby the vast majority of circulating tumor cells are not able to progressively grow at distant sites (3)(4)(5)(6). Related to this is the observation that metastatic cells exhibit tissue tropism, preferring to grow in certain organs in a way that cannot be explained by circulatory patterns alone.…”
Section: Introductionmentioning
confidence: 95%
“…As early as 1889, Paget proposed that the growth of metastasis is due to the speci®c interaction of tumor cells with particular organ environments (Paget, 1889). This hypothesis has been supported both experimentally and clinically (Hart et al, 1981;Tarin et al, 1984). Multiple cellular properties are involved in the ability of tumor cells to colonize distant organ.…”
Section: Introductionmentioning
confidence: 89%
“…Similar findings have being documented in different cancer patients, patients with malignant ascites, breast cancer (Braun et al, 2005, Riethdorf et al, 2008, and liver cancer. In the case of cancer patients with malignant ascites who have implantation of peritoneo as procedure which help alleviate abdominal distention, but also has the unavoidable effect of shunting huge number of tumor cells into systemic circulation, disseminated cancer is a rare event (Campioni et al, 1986, Tarin et al, 1984. A related clinical example is the recognition that viable breast cancer cells have been found in the bone marrow of a large percentage of patients.…”
Section: Evidences That Not All Cancer Cells Are Tumorigenicmentioning
confidence: 99%