“…In analyzing the metastatic cascade in animal tumor models several discrete stages in the metastatic process have been studied in detail (2,4,10,11) and several have been proposed as sites for therapeutic intervention (12)(13)(14). Many of these studies have been instrumental in examining the biology, pharmacology and biochemistry of tumor cell metastasis but the prospects of exploiting this information in the design of mechanism-based drugs which display improved activity against established metastases, are for reasons described above, remote, Compounds with proposed 'antimetastatic' activity like inhibitors of tumor cell invasion (protease inhibitors and disruptors of microtubule function) (15)(16)(17)(18)(19)(20)(21), antagonists of tumor cell-platelet interactions (prostacyclin thromboxane antagonists, calcium channel blockers) (22)(23) and blockers of tumor cell arrest (laminin fragments) (33, 34) may serve as useful tool compounds to yield insight into the pathogenesis of metastasis and may even find limited clinical utility in the prophylactic discouragement of tumor cell spread. However, unless and until diagnostic procedures achieve a level of sensitivity capable of detecting (and locating) malignant growths before dissemination has occurred (35), the pharmacological approaches directed at blocking tumor cell spread is inappropriate and offers little, if any, prospect of improved therapeutic strategies for cancer patients with disseminated disease.…”