2007
DOI: 10.1016/s0140-6736(07)60781-8
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Metastasis: recent discoveries and novel treatment strategies

Abstract: Most cancer deaths are due to the development of metastases, hence the most important improvements in morbidity and mortality will result from prevention (or elimination) of such disseminated disease. Some would argue that treatments directed against metastasis are too late because cells have already escaped from the primary tumour. Such an assertion runs contrary to the significant but (for many common adult cancers) fairly modest improvements in survival following the use of adjuvant radiation and chemothera… Show more

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Cited by 663 publications
(539 citation statements)
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References 206 publications
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“…The foremost cause of death in cancer patients is not by the primary tumors, as they are usually surgically removed, but rather by the development of metastases and the recurrence of the disease (18,19). Interestingly, in many cancers, metastases are more likely to form only after the primary tumor is removed.…”
Section: Discussionmentioning
confidence: 99%
“…The foremost cause of death in cancer patients is not by the primary tumors, as they are usually surgically removed, but rather by the development of metastases and the recurrence of the disease (18,19). Interestingly, in many cancers, metastases are more likely to form only after the primary tumor is removed.…”
Section: Discussionmentioning
confidence: 99%
“…This event occurs mainly through intravasation of lymphatic and blood vessels, although some cancer cells are also able to spread through interstitial tissues under the basal lamina or directly into the peritoneal cavity (e.g., ovarian carcinoma). The metastatic process involves a succession of cellular events comprising tumor angiogenesis, acquisition of an invasive phenotype by primary tumor cells, intravasation of cancer cells into blood and lymphatic vessels, attachment to a target organ, and establishment of a secondary tumor [72][73][74][75]. In this complex succession of events, the phenotypical change of tumor cells to acquire invasive abilities is absolutely necessary.…”
Section: Purinergic Signaling Emt and Invasivenessmentioning
confidence: 99%
“…Type IV collagen increases tumor cell resistance to anoikis The ECM provides survival signals to the cells and has been linked to the ability of tumor cells to evade cell detachment-induced apoptosis (anoikis) and metastasize (Eccles and Welch, 2007;Decker et al, 2008;Simpson et al, 2008). Liver metastasis, in particular, was shown to be associated with an increased cell capacity to resist anoikis (Duxbury et al, 2004).…”
Section: Col3a1mentioning
confidence: 99%