Skip to main content
Erschienen in: Breast Cancer Research 6/2000

01.12.2000 | Review

Molecular biology of breast cancer metastasis Clinical implications of experimental studies on metastatic inefficiency

verfasst von: Ann F Chambers, George N Naumov, Sharon A Vantyghem, Alan B Tuck

Erschienen in: Breast Cancer Research | Ausgabe 6/2000

Einloggen, um Zugang zu erhalten

Abstract

Recent technological advances have led to an increasing ability to detect isolated tumour cells and groups of tumour cells in patients' blood, lymph nodes or bone marrow. However, the clinical significance of these cells is unclear. Should they be considered as evidence of metastasis, necessitating aggressive treatment, or are they in some cases unrelated to clinical outcome? Quantitative experimental studies on the basic biology of metastatic inefficiency are providing clues that may help in understanding the significance of these cells. This understanding will be of use in guiding clinical studies to assess the significance of isolated tumour cells and micrometastases in cancer patients.
Literatur
1.
Zurück zum Zitat Pisani P, Parkin DM, Bray F, Ferlay J: Estimates of the worldwide mortality from 25 cancers in 1990. Int J Cancer. 1999, 83: 18-29. 10.1002/(SICI)1097-0215(1999)83:12+<18::AID-IJC5>3.0.CO;2-L.CrossRefPubMed Pisani P, Parkin DM, Bray F, Ferlay J: Estimates of the worldwide mortality from 25 cancers in 1990. Int J Cancer. 1999, 83: 18-29. 10.1002/(SICI)1097-0215(1999)83:12+<18::AID-IJC5>3.0.CO;2-L.CrossRefPubMed
2.
Zurück zum Zitat Pisani P, Parkin DM, Bray F, Ferlay J: Erratum: estimates of the worldwide mortality from 25 cancers in 1990. Int J Cancer. 1999, 83: 870-873. 10.1002/(SICI)1097-0215(19991210)83:6<870::AID-IJC35>3.0.CO;2-9.CrossRefPubMed Pisani P, Parkin DM, Bray F, Ferlay J: Erratum: estimates of the worldwide mortality from 25 cancers in 1990. Int J Cancer. 1999, 83: 870-873. 10.1002/(SICI)1097-0215(19991210)83:6<870::AID-IJC35>3.0.CO;2-9.CrossRefPubMed
3.
Zurück zum Zitat Funke I, Schraut W: Meta-analyses of studies on bone marrow micrometastases: an independent prognostic impact remains to be substantiated. J Clin Oncol. 1998, 16: 557-566., This is an important meta-analysis of the literature to date on the prognostic significance of isolated tumour cells in bone marrowPubMed Funke I, Schraut W: Meta-analyses of studies on bone marrow micrometastases: an independent prognostic impact remains to be substantiated. J Clin Oncol. 1998, 16: 557-566., This is an important meta-analysis of the literature to date on the prognostic significance of isolated tumour cells in bone marrowPubMed
4.
Zurück zum Zitat Page DL, Anderson TJ, Carter BA: Minimal solid tumor involvement of regional and distant sites: when is a metastasis not a metastasis? [editorial]. Cancer. 1999, 86: 2589-2592. 10.1002/(SICI)1097-0142(19991215)86:12<2589::AID-CNCR1>3.3.CO;2-Z., This is an excellent editorial, which comments on [34] and discusses the clinical significance of micrometastases and isolated tumour cells.CrossRefPubMed Page DL, Anderson TJ, Carter BA: Minimal solid tumor involvement of regional and distant sites: when is a metastasis not a metastasis? [editorial]. Cancer. 1999, 86: 2589-2592. 10.1002/(SICI)1097-0142(19991215)86:12<2589::AID-CNCR1>3.3.CO;2-Z., This is an excellent editorial, which comments on [34] and discusses the clinical significance of micrometastases and isolated tumour cells.CrossRefPubMed
6.
Zurück zum Zitat Tarin D, Vass AC, Kettlewell MG, Price JE: Absence of metastatic sequelae during long-term treatment of malignant ascites by peritoneo-venous shunting. A clinico-pathological report. Invasion Metastasis. 1984, 4: 1-12.PubMed Tarin D, Vass AC, Kettlewell MG, Price JE: Absence of metastatic sequelae during long-term treatment of malignant ascites by peritoneo-venous shunting. A clinico-pathological report. Invasion Metastasis. 1984, 4: 1-12.PubMed
7.
Zurück zum Zitat Tarin D, Price JE, Kettlewell MG, Souter RG, Vass AC, Crossley B: Mechanisms of human tumor metastasis studied in patients with peritoneovenous shunts. Cancer Res. 1984, 44: 3584-3592.PubMed Tarin D, Price JE, Kettlewell MG, Souter RG, Vass AC, Crossley B: Mechanisms of human tumor metastasis studied in patients with peritoneovenous shunts. Cancer Res. 1984, 44: 3584-3592.PubMed
8.
Zurück zum Zitat Fidler IJ: Metastasis: quantitative analysis of distribution and fate of tumor emboli labeled with 125I-5-iodo-2'-deoxyuridine. J Natl Cancer Inst. 1970, 45: 773-782.PubMed Fidler IJ: Metastasis: quantitative analysis of distribution and fate of tumor emboli labeled with 125I-5-iodo-2'-deoxyuridine. J Natl Cancer Inst. 1970, 45: 773-782.PubMed
9.
Zurück zum Zitat Butler TP, Gullino PM: Quantitation of cell shedding into efferent blood of mammary adenocarcinoma. Cancer Res. 1975, 35: 512-516.PubMed Butler TP, Gullino PM: Quantitation of cell shedding into efferent blood of mammary adenocarcinoma. Cancer Res. 1975, 35: 512-516.PubMed
10.
Zurück zum Zitat Liotta LA, Kleinerman J, Saidel GM: Quantitative relationships of intravascular tumor cells, tumor vessels, and pulmonary metastases following tumor implantation. Cancer Res. 1974, 34: 997-1004.PubMed Liotta LA, Kleinerman J, Saidel GM: Quantitative relationships of intravascular tumor cells, tumor vessels, and pulmonary metastases following tumor implantation. Cancer Res. 1974, 34: 997-1004.PubMed
11.
Zurück zum Zitat Chambers AF, MacDonald IC, Schmidt EE, Koop S, Morris VL, Khokha R, Groom AC: Steps in tumor metastasis: new concepts from intravital videomicroscopy. Cancer Metastasis Rev. 1995, 14: 279-301.CrossRefPubMed Chambers AF, MacDonald IC, Schmidt EE, Koop S, Morris VL, Khokha R, Groom AC: Steps in tumor metastasis: new concepts from intravital videomicroscopy. Cancer Metastasis Rev. 1995, 14: 279-301.CrossRefPubMed
12.
Zurück zum Zitat MacDonald IC, Schmidt EE, Morris V, Groom AC, Chambers AF: In vivo videomicroscopy of experimental hematogenous metastasis: cancer cell arrest, extravasation and migration. In: Motion Analysis of Living Cells. Edited by Soll DR, Wessels D. New York: John Wiley and Sons,. 1998, 263-287., This is a review of IVVM and cell ‘accounting’ procedures, with an especially technical focus MacDonald IC, Schmidt EE, Morris V, Groom AC, Chambers AF: In vivo videomicroscopy of experimental hematogenous metastasis: cancer cell arrest, extravasation and migration. In: Motion Analysis of Living Cells. Edited by Soll DR, Wessels D. New York: John Wiley and Sons,. 1998, 263-287., This is a review of IVVM and cell ‘accounting’ procedures, with an especially technical focus
13.
Zurück zum Zitat Chambers AF, MacDonald IC, Schmidt EE, Morris VL, Groom AC: Pre-clinical assessment of anti-cancer therapeutic strategies using in vivo videomicroscopy. Cancer Metastasis Rev. 1999, 17: 263-269. 10.1023/A:1006136428254.CrossRef Chambers AF, MacDonald IC, Schmidt EE, Morris VL, Groom AC: Pre-clinical assessment of anti-cancer therapeutic strategies using in vivo videomicroscopy. Cancer Metastasis Rev. 1999, 17: 263-269. 10.1023/A:1006136428254.CrossRef
14.
Zurück zum Zitat Chambers AF: The metastatic process: basic research and clinical implications. Oncol Res. 1999, 11: 161-168.PubMed Chambers AF: The metastatic process: basic research and clinical implications. Oncol Res. 1999, 11: 161-168.PubMed
15.
Zurück zum Zitat Chambers AF, MacDonald IC, Schmidt EE, Morris VL, Groom AC: Clinical targets for anti-metastasis therapy. Adv Cancer Res. 2000, 79: 91-121., This is an extensive review of findings to date using IVVM and cell ‘accounting’ procedures to clarify the metastatic processCrossRefPubMed Chambers AF, MacDonald IC, Schmidt EE, Morris VL, Groom AC: Clinical targets for anti-metastasis therapy. Adv Cancer Res. 2000, 79: 91-121., This is an extensive review of findings to date using IVVM and cell ‘accounting’ procedures to clarify the metastatic processCrossRefPubMed
16.
Zurück zum Zitat Koop S, MacDonald IC, Luzzi K, Schmidt EE, Morris VL, Grattan M, Khokha R, Chambers AF, Groom AC: Fate of melanoma cells entering the microcirculation: over 80% survive and extravasate. Cancer Res . 1995, 55: 2520-2523.PubMed Koop S, MacDonald IC, Luzzi K, Schmidt EE, Morris VL, Grattan M, Khokha R, Chambers AF, Groom AC: Fate of melanoma cells entering the microcirculation: over 80% survive and extravasate. Cancer Res . 1995, 55: 2520-2523.PubMed
17.
Zurück zum Zitat Luzzi KJ, MacDonald IC, Schmidt EE, Kerkvliet N, Morris VL, Chambers AC, Groom AC: Multistep nature of metastatic inefficiency: dormancy of solitary cells after successful extravasation, and limited survival of early micrometastases. Am J Pathol. 1998, 153: 865-873.CrossRefPubMedPubMedCentral Luzzi KJ, MacDonald IC, Schmidt EE, Kerkvliet N, Morris VL, Chambers AC, Groom AC: Multistep nature of metastatic inefficiency: dormancy of solitary cells after successful extravasation, and limited survival of early micrometastases. Am J Pathol. 1998, 153: 865-873.CrossRefPubMedPubMedCentral
18.
Zurück zum Zitat Morris VL, MacDonald IC, Koop S, Schmidt EE, Chambers AF, Groom AC: Early interactions of cancer cells with the microvasculature in mouse liver and muscle during hematogenous metastasis: videomicroscopic analysis. Clin Exptl Metastasis. 1993, 11: 377-390.CrossRef Morris VL, MacDonald IC, Koop S, Schmidt EE, Chambers AF, Groom AC: Early interactions of cancer cells with the microvasculature in mouse liver and muscle during hematogenous metastasis: videomicroscopic analysis. Clin Exptl Metastasis. 1993, 11: 377-390.CrossRef
19.
Zurück zum Zitat Morris VL, Koop S, MacDonald IC, Schmidt EE, Grattan M, Percy D, Chambers AF, Groom AC: Mammary carcinoma cell lines of high and low metastatic potential differ not in extravasation but in subsequent migration and growth. Clin Exptl Metastasis. 1994, 12: 357-367.CrossRef Morris VL, Koop S, MacDonald IC, Schmidt EE, Grattan M, Percy D, Chambers AF, Groom AC: Mammary carcinoma cell lines of high and low metastatic potential differ not in extravasation but in subsequent migration and growth. Clin Exptl Metastasis. 1994, 12: 357-367.CrossRef
20.
Zurück zum Zitat Naumov GN, Wilson SM, MacDonald IC, Schmidt EE, Morris VL, Groom AC, Hoffman RM, Chambers AF: Cellular expression of green fluorescent protein, coupled with high-resolution in vivo videomicroscopy, to monitor steps in tumor metastasis. J Cell Sci. 1999, 112: 1835-1842.PubMed Naumov GN, Wilson SM, MacDonald IC, Schmidt EE, Morris VL, Groom AC, Hoffman RM, Chambers AF: Cellular expression of green fluorescent protein, coupled with high-resolution in vivo videomicroscopy, to monitor steps in tumor metastasis. J Cell Sci. 1999, 112: 1835-1842.PubMed
21.
Zurück zum Zitat Farina KL, Wyckoff JB, Rivera J, Lee H, Segall JE, Condeelis JS, Jones JG: Cell motility of tumor cells visualized in living intact primary tumors using green fluorescent protein. Cancer Res. 1998, 58: 2528-2532.PubMed Farina KL, Wyckoff JB, Rivera J, Lee H, Segall JE, Condeelis JS, Jones JG: Cell motility of tumor cells visualized in living intact primary tumors using green fluorescent protein. Cancer Res. 1998, 58: 2528-2532.PubMed
22.
Zurück zum Zitat Sckell A, Safabakhsh N, Dellian M, Jain RK: Primary tumor size-dependent inhibition of angiogenesis at a secondary site: an intravital microscopic study in mice. Cancer Res. 1998, 58: 5866-5869.PubMed Sckell A, Safabakhsh N, Dellian M, Jain RK: Primary tumor size-dependent inhibition of angiogenesis at a secondary site: an intravital microscopic study in mice. Cancer Res. 1998, 58: 5866-5869.PubMed
23.
Zurück zum Zitat Scherbarth S, Orr FW: Intravital videomicroscopic evidence for regulation of metastasis by the hepatic microvasculature: effects of interleukin-1α on metastasis and the location of B16F1 melanoma cell arrest. Cancer Res. 1997, 57: 4105-4110.PubMed Scherbarth S, Orr FW: Intravital videomicroscopic evidence for regulation of metastasis by the hepatic microvasculature: effects of interleukin-1α on metastasis and the location of B16F1 melanoma cell arrest. Cancer Res. 1997, 57: 4105-4110.PubMed
24.
Zurück zum Zitat Talmadge JE, Wolman SR, Fidler IJ: Evidence for the clonal origin of spontaneous metastases. Science. 1982, 217: 361-363.CrossRefPubMed Talmadge JE, Wolman SR, Fidler IJ: Evidence for the clonal origin of spontaneous metastases. Science. 1982, 217: 361-363.CrossRefPubMed
25.
Zurück zum Zitat Chambers AF, Wilson S: Use of NeoR B16F1 murine melanoma cells to assess clonality of experimental metastases in the immune-deficient chick embryo. Clin Exptl Metastasis. 1982, 6: 171-182.CrossRef Chambers AF, Wilson S: Use of NeoR B16F1 murine melanoma cells to assess clonality of experimental metastases in the immune-deficient chick embryo. Clin Exptl Metastasis. 1982, 6: 171-182.CrossRef
26.
Zurück zum Zitat Koop S, Schmidt EE, MacDonald IC, Morris VL, Khokha R, Grattan M, Leone J, Chambers AF, Groom AC: Independence of metastatic ability and extravasation: metastatic ras-transformed and control fibroblasts extravasate equally well. Proc Natl Acad Sci USA. 1996, 93: 11080-11084. 10.1073/pnas.93.20.11080.CrossRefPubMedPubMedCentral Koop S, Schmidt EE, MacDonald IC, Morris VL, Khokha R, Grattan M, Leone J, Chambers AF, Groom AC: Independence of metastatic ability and extravasation: metastatic ras-transformed and control fibroblasts extravasate equally well. Proc Natl Acad Sci USA. 1996, 93: 11080-11084. 10.1073/pnas.93.20.11080.CrossRefPubMedPubMedCentral
27.
Zurück zum Zitat Welch DR: Technical considerations for studying cancer metastasis in vivo. Clin Exp Metastasis . 1997, 15: 272-301. 10.1023/A:1018477516367., This is an excellent and comprehensive review on experimental methods used to study tumour metastasisCrossRefPubMed Welch DR: Technical considerations for studying cancer metastasis in vivo. Clin Exp Metastasis . 1997, 15: 272-301. 10.1023/A:1018477516367., This is an excellent and comprehensive review on experimental methods used to study tumour metastasisCrossRefPubMed
28.
Zurück zum Zitat Cameron MD, Schmidt EE, Kerkvliet N, Nadkarni KV, Morris VL, Groom AC, Chambers AF, MacDonald IC: Temporal progression of metastasis in lung: cell survival, dormancy, and location dependence of metastatic inefficiency. Cancer Res. 2000, 60: 2541-2546.PubMed Cameron MD, Schmidt EE, Kerkvliet N, Nadkarni KV, Morris VL, Groom AC, Chambers AF, MacDonald IC: Temporal progression of metastasis in lung: cell survival, dormancy, and location dependence of metastatic inefficiency. Cancer Res. 2000, 60: 2541-2546.PubMed
29.
Zurück zum Zitat Welch DR, Steeg PS, Rinker-Schaeffer CW: Molecular biology of breast cancer metastasis: genetic regulation of human breast carcinoma metastasis. Breast Cancer Res. 2000, 2: Welch DR, Steeg PS, Rinker-Schaeffer CW: Molecular biology of breast cancer metastasis: genetic regulation of human breast carcinoma metastasis. Breast Cancer Res. 2000, 2:
30.
Zurück zum Zitat Chekmareva MA, Kadkhodaian MM, Hollowell CM, Kim H, Yoshida BA, Luu HH, Stadler WM, Rinker-Schaeffer CW: Chromosome 17-mediated dormancy of AT6.1 prostate cancer micrometastases. Cancer Res . 1998, 58: 4963-4969., This is an important study that demonstrates that a metastasis-suppressor gene functions by blocking growth of cells that successfully arrive at a secondary site.PubMed Chekmareva MA, Kadkhodaian MM, Hollowell CM, Kim H, Yoshida BA, Luu HH, Stadler WM, Rinker-Schaeffer CW: Chromosome 17-mediated dormancy of AT6.1 prostate cancer micrometastases. Cancer Res . 1998, 58: 4963-4969., This is an important study that demonstrates that a metastasis-suppressor gene functions by blocking growth of cells that successfully arrive at a secondary site.PubMed
31.
Zurück zum Zitat Goldberg SF, Harms JF, Quon K, Welch DR: Metastasis-suppressed C8161 melanoma cell arrest in lung but fail to proliferate. Clin Exp Metastasis. 1999, 17: 601-617. 10.1023/A:1006718800891., This paper shows that a second, unrelated metastasis-suppressor gene also functions by blocking growth of cells that successfully arrive at a secondary site (see also [30])CrossRefPubMed Goldberg SF, Harms JF, Quon K, Welch DR: Metastasis-suppressed C8161 melanoma cell arrest in lung but fail to proliferate. Clin Exp Metastasis. 1999, 17: 601-617. 10.1023/A:1006718800891., This paper shows that a second, unrelated metastasis-suppressor gene also functions by blocking growth of cells that successfully arrive at a secondary site (see also [30])CrossRefPubMed
32.
Zurück zum Zitat Wyckoff JB, Jones JG, Condeelis JS, Segall JE: A critical step in metastasis: in vivo analysis of intravasation at the primary tumor. Cancer Res. 2000, 60: 2504-2511.PubMed Wyckoff JB, Jones JG, Condeelis JS, Segall JE: A critical step in metastasis: in vivo analysis of intravasation at the primary tumor. Cancer Res. 2000, 60: 2504-2511.PubMed
33.
Zurück zum Zitat Swartz MA, Kristensen CA, Melder RJ, Roberge S, Calautti E, Fukumura D, Jain RK: Cells shed from tumours show reduced clonogenicity, resistance to apoptosis, and in vivo tumorigenicity. Br J Cancer. 1999, 81: 756-759. 10.1038/sj.bjc.6690760.CrossRefPubMedPubMedCentral Swartz MA, Kristensen CA, Melder RJ, Roberge S, Calautti E, Fukumura D, Jain RK: Cells shed from tumours show reduced clonogenicity, resistance to apoptosis, and in vivo tumorigenicity. Br J Cancer. 1999, 81: 756-759. 10.1038/sj.bjc.6690760.CrossRefPubMedPubMedCentral
34.
Zurück zum Zitat Dowlatshahi K, Fan M, Bloom KJ, Spitz DJ, Patel S, Snider HC: Occult metastases in the sentinel lymph nodes of patients with early stage breast carcinoma: a preliminary study. Cancer. 1999, 86: 990-996. 10.1002/(SICI)1097-0142(19990915)86:6<990::AID-CNCR14>3.0.CO;2-D.CrossRefPubMed Dowlatshahi K, Fan M, Bloom KJ, Spitz DJ, Patel S, Snider HC: Occult metastases in the sentinel lymph nodes of patients with early stage breast carcinoma: a preliminary study. Cancer. 1999, 86: 990-996. 10.1002/(SICI)1097-0142(19990915)86:6<990::AID-CNCR14>3.0.CO;2-D.CrossRefPubMed
35.
Zurück zum Zitat Allred DC, Elledge RM: Caution concerning micrometastatic breast carcinoma in sentinel lymph nodes [editorial]. Cancer. 1999, 86: 905-907. 10.1002/(SICI)1097-0142(19990915)86:6<905::AID-CNCR1>3.0.CO;2-K., A good editorial is presented, which comments on the significance of [34]CrossRefPubMed Allred DC, Elledge RM: Caution concerning micrometastatic breast carcinoma in sentinel lymph nodes [editorial]. Cancer. 1999, 86: 905-907. 10.1002/(SICI)1097-0142(19990915)86:6<905::AID-CNCR1>3.0.CO;2-K., A good editorial is presented, which comments on the significance of [34]CrossRefPubMed
36.
Zurück zum Zitat Hermanek P, Hutter RV, Sobin LH, Wittekind C: Classification of isolated tumor cells and micrometastasis. Cancer. 1999, 86: 2668-2673. 10.1002/(SICI)1097-0142(19991215)86:12<2668::AID-CNCR11>3.0.CO;2-R., This paper identifies the need to consider isolated tumour cells separately from micrometastases, and establishes a working definition of a ‘micrometastasis’CrossRefPubMed Hermanek P, Hutter RV, Sobin LH, Wittekind C: Classification of isolated tumor cells and micrometastasis. Cancer. 1999, 86: 2668-2673. 10.1002/(SICI)1097-0142(19991215)86:12<2668::AID-CNCR11>3.0.CO;2-R., This paper identifies the need to consider isolated tumour cells separately from micrometastases, and establishes a working definition of a ‘micrometastasis’CrossRefPubMed
37.
Zurück zum Zitat Racila E, Euhus D, Weiss AJ, Rao C, McConnell J, Terstappen LW, Uhr JW: Detection and characterization of carcinoma cells in the blood. Proc Natl Acad Sci USA. 1998, 95: 4589-4594. 10.1073/pnas.95.8.4589.CrossRefPubMedPubMedCentral Racila E, Euhus D, Weiss AJ, Rao C, McConnell J, Terstappen LW, Uhr JW: Detection and characterization of carcinoma cells in the blood. Proc Natl Acad Sci USA. 1998, 95: 4589-4594. 10.1073/pnas.95.8.4589.CrossRefPubMedPubMedCentral
38.
Zurück zum Zitat Brown DC, Purushotham AD, Birnie GD, George WD: Detection of intraoperative tumor cell dissemination in patients with breast cancer by use of reverse transcription and polymerase chain reaction. Surgery . 1995, 117: 95-101.CrossRefPubMed Brown DC, Purushotham AD, Birnie GD, George WD: Detection of intraoperative tumor cell dissemination in patients with breast cancer by use of reverse transcription and polymerase chain reaction. Surgery . 1995, 117: 95-101.CrossRefPubMed
39.
40.
Zurück zum Zitat Mori M, Mimori K, Ueo H, Karimine N, Barnard GF, Sugimachi K, Akiyoshi T: Molecular detection of circulating solid carcinoma cells in the peripheral blood: the concept of early systemic disease. Int J Cancer. 1996, 68: 739-743. 10.1002/(SICI)1097-0215(19961211)68:6<739::AID-IJC8>3.3.CO;2-Q.CrossRefPubMed Mori M, Mimori K, Ueo H, Karimine N, Barnard GF, Sugimachi K, Akiyoshi T: Molecular detection of circulating solid carcinoma cells in the peripheral blood: the concept of early systemic disease. Int J Cancer. 1996, 68: 739-743. 10.1002/(SICI)1097-0215(19961211)68:6<739::AID-IJC8>3.3.CO;2-Q.CrossRefPubMed
41.
Zurück zum Zitat Mori M, Mimori K, Ueo H, Tsuji K, Shiraishi T, Barnard GF, Sugimachi K, Akiyoshi T: Clinical significance of molecular detection of carcinoma cells in lymph nodes and peripheral blood by reverse transcription-polymerase chain reaction in patients with gastrointestinal or breast carcinomas. J Clin Oncol. 1998, 16: 128-132.PubMed Mori M, Mimori K, Ueo H, Tsuji K, Shiraishi T, Barnard GF, Sugimachi K, Akiyoshi T: Clinical significance of molecular detection of carcinoma cells in lymph nodes and peripheral blood by reverse transcription-polymerase chain reaction in patients with gastrointestinal or breast carcinomas. J Clin Oncol. 1998, 16: 128-132.PubMed
42.
Zurück zum Zitat Golinger RC, Gregorio RM, Fisher ER: Tumor cells in venous blood draining mammary carcinomas. Arch Surg. 1977, 112: 707-708.CrossRefPubMed Golinger RC, Gregorio RM, Fisher ER: Tumor cells in venous blood draining mammary carcinomas. Arch Surg. 1977, 112: 707-708.CrossRefPubMed
43.
Zurück zum Zitat Cady B: Lymph node metastases. Indicators, but not governors of survival. Arch Surg. 1984, 119: 1067-1072.CrossRefPubMed Cady B: Lymph node metastases. Indicators, but not governors of survival. Arch Surg. 1984, 119: 1067-1072.CrossRefPubMed
44.
Zurück zum Zitat Jatoi I: Breast cancer: a systemic or local disease?. Am J Clin Oncol. 1997, 20: 536-539. 10.1097/00000421-199710000-00022.CrossRefPubMed Jatoi I: Breast cancer: a systemic or local disease?. Am J Clin Oncol. 1997, 20: 536-539. 10.1097/00000421-199710000-00022.CrossRefPubMed
Metadaten
Titel
Molecular biology of breast cancer metastasis Clinical implications of experimental studies on metastatic inefficiency
verfasst von
Ann F Chambers
George N Naumov
Sharon A Vantyghem
Alan B Tuck
Publikationsdatum
01.12.2000
Verlag
BioMed Central
Erschienen in
Breast Cancer Research / Ausgabe 6/2000
Elektronische ISSN: 1465-542X
DOI
https://doi.org/10.1186/bcr86

Weitere Artikel der Ausgabe 6/2000

Breast Cancer Research 6/2000 Zur Ausgabe

Adjuvante Immuntherapie verlängert Leben bei RCC

25.04.2024 Nierenkarzinom Nachrichten

Nun gibt es auch Resultate zum Gesamtüberleben: Eine adjuvante Pembrolizumab-Therapie konnte in einer Phase-3-Studie das Leben von Menschen mit Nierenzellkarzinom deutlich verlängern. Die Sterberate war im Vergleich zu Placebo um 38% geringer.

Alectinib verbessert krankheitsfreies Überleben bei ALK-positivem NSCLC

25.04.2024 NSCLC Nachrichten

Das Risiko für Rezidiv oder Tod von Patienten und Patientinnen mit reseziertem ALK-positivem NSCLC ist unter einer adjuvanten Therapie mit dem Tyrosinkinase-Inhibitor Alectinib signifikant geringer als unter platinbasierter Chemotherapie.

Bei Senioren mit Prostatakarzinom auf Anämie achten!

24.04.2024 DGIM 2024 Nachrichten

Patienten, die zur Behandlung ihres Prostatakarzinoms eine Androgendeprivationstherapie erhalten, entwickeln nicht selten eine Anämie. Wer ältere Patienten internistisch mitbetreut, sollte auf diese Nebenwirkung achten.

ICI-Therapie in der Schwangerschaft wird gut toleriert

Müssen sich Schwangere einer Krebstherapie unterziehen, rufen Immuncheckpointinhibitoren offenbar nicht mehr unerwünschte Wirkungen hervor als andere Mittel gegen Krebs.

Update Onkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.