Studies have been carried out to determine whether the inhalation of ambient levels of nitrogen dioxide (NO2), a common air pollutant, could influence the frequency of bloodborne cancer cell metastasis to the lungs. B16 mouse melanoma cells were used as an in vivo test model. The results have indicated that animals inhaling ambient levels of NO2 developed a significantly higher number of melanoma nodules in their lungs than the animals inhaling ifitered air. Thus, a new concept for the action of air pollutants is proposed. The question is raised whether similar events are taking place in urban human populations.The presence of pollutants in the environment, especially those with carcinogenic properties, has been of great concern to environmental health scientists. In view of this, many studies have been directed toward the identification of cancer-causing agents in the environment (1-4). However, the problem of cancer involves not only the development and presence ofneoplastic cells at a primary site, but also the ability of these cells to migrate, seed, and proliferate in distant organs and tissues. The importance of cancer cell dissemination and metastasis has been emphasized by many investigators and has been stated particularly well by Day, who wrote that, "even though the cause of cancer is important, in the clinical case it is the spread-the phenomenon of metastasisthat is of much more immediate concern in the human situation" (5). Moreover, considering that a significant segment of the population is already affected by cancer together with the probability that one in four individuals will develop cancer (6), the question arises as to the role environmental pollutants play not only in the causation of cancer or carcinogenesis, but in the progression of the disease, particularly the dissemination of cancer cells and development of metastases.The development and progression of cancer is a very complex process (Fig. 1). It is possible that different air pollutants could act at different sites