“…Macrophages in tumor stroma have also been shown to express CHi3L1 which likely also promotes tumor angiogenesis [24] . Blood levels of CHi3L1 are negligible under normal physiologic conditions, however, elevated blood levels of CHi3L1 have been found in patients with chronic inflammatory conditions [25] and a wide variety of cancers including colorectal [22,26] , breast [27] , prostate [28] , lung [29,30] , thyroid [31] , endometrial [32] pancreatic [33] hepatocellular [34] , ovarian [35] , gastric cancer [36] , and malignant melanoma [37] . Additionally, for the majority of these malignancies, a correlation has been demonstrated between blood levels of CHi3L1 and a poor prognosis [26,[29][30][31][32][33][34][35][36][37][38][39][40][41][42][43][44] .…”