“…Further, increased LVD in the peritumor region correlates with increased metastasis in a number of human cancers, directly implicating new lymphatic vessel formation in tumor cell dissemination (106–108). A multitude of studies have examined mechanisms driving neo-lymphangiogenesis in the breast tumor environment, and VEGF-C, VEGF-D, macrophages, and COX-2/PGE 2 have emerged as key players (51, 68, 72, 73, 80, 99–101, 109–118). …”