Paget's Bseed and soil^hypothesis to explain patterns of cancer metastasis [1] must rank as the longest-enduring and most influential concept in oncology. Nevertheless, our understanding of what defines a metastatic Bseed^as well as the underlying cell and molecular basis of what constitutes a receptive microenvironmental Bsoil^is clearly only partial and continues to evolve to this day. For example, ideas about hierarchical tumor cell subpopulations founded on cancer stem cells clearly have important implications about whether all or only some tumor cells can act as seeds during metastasis formation [2].With regard to the soil in which metastases develop, recent years have witnessed rapid progress, and it is now clear that the nature of the soil is dynamic and can be influenced by a number of factors, including the primary tumor itself. In particular, seminal work from David Lyden's laboratory 10 years ago [3] has stimulated intensive work into defining what constitutes a metastatic niche-an organ microenvironment that supports the survival and outgrowth of disseminated tumor cells-and how factors released by tumors can condition organ microenvironments to create pre-metastatic niches in advance of tumor cell dissemination.The notion that tumor-derived factors can stimulate metastasis formation harks back to early ideas about how cancer dissemination occurs. Prior to the acceptance of cell theory as the basis of life and its application to pathology, various theories postulated that cancer was spread by poisonous or infectious Bjuices^pro-duced by tumors that caused transformation at secondary sites, leading to metastasis formation [4]. While metastasis is clearly not caused by secondary transformation but rather by dissemination of tumor cells from the primary cancer, nevertheless, it has emerged that factors that are shed and secreted by primary tumors can be decisive in metastasis formation through conditioning organ microenvironments in which metastases ultimately develop. Understanding these tumor-derived juices and the critical components within them is thus clearly an additional important aspect to be considered alongside the seed and soil and is obviously highly relevant therapeutically.Pre-metastatic conditioning likely contributes to a number of observations regarding metastasis formation. The concentration of factors produced by tumors that can induce a pre-metastatic niche in future sites of metastasis must presumably exceed a given threshold in order to condition the target organ microenvironment. This presumably contributes to the fact that the size of a primary tumor often correlates with the risk of metastasis formation [5]. Furthermore, as tumor-draining lymph nodes are exposed to high concentrations of metastatic niche-conditioning factors that are present in the lymphatic fluid they receive from the primary tumor, this must contribute at least in part to the prevalence of lymph node metastases for many types of cancer [6]. Moreover, some tumors such as melanoma metastasize while the primary t...