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PMID: 21522121 Published · ppublish English Journal Article Review

Clinical implications of cancer self-seeding.

Nature reviews. Clinical oncology ·Vol. 8 ·No. 6 ·2011-06-00 ·Pages 369-77

Comen E, Norton L, Massagué J

Abstract

Most metastatic cancers are incurable--a fact that underscores the limitations of our existing paradigms for understanding metastasis. In this Review, we use breast cancer to explore many of the enigmas revealed by these existing paradigms. Traditionally, metastatic models describe metastasis as a unidirectional process, whereby cancer cells leave a primary tumor and unidirectionally seed metastasis in regional lymph nodes or distant sites. By contrast, recent data indicate that metastasis is a multidirectional process whereby cancer cells can seed distant sites as well as the primary tumor itself. This later process, known as 'self-seeding,' has been validated in diverse experimental models. Here, we show that the self-seeding model may answer many of the mysteries inherent to cancer metastasis. Indeed, reframing our understanding of metastasis within the self-seeding model offers new opportunities for prevention and cure of metastatic cancer.

MeSH Terms
Animals Breast Neoplasms/secondary Disease Progression Female Humans Neoplasm Seeding Neoplastic Cells, Circulating/pathology
Authors & Affiliations
3 authors, click to expand affiliations / ORCID
Comen Elizabeth
Department of Medicine, Memorial Sloan-Kettering Cancer Center and the Weill College of Medicine of Cornell University, New York, NY 10021, USA.
Norton Larry
Massagué Joan
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Article Info
Journal
Nature reviews. Clinical oncology
Abbr.
Nat Rev Clin Oncol
ISSN
1759-4782
Published
2011-06-00
Epub
2011-00-26
Pages
369-77
Language
English
Region
England
NLM ID
101500077
Subset
IM
Analysis Services
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