The connectivity of lymphogenous and hematogenous tumor cell dissemination: biological insights and clinical implications.
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The connectivity of lymphogenous and hematogenous tumor cell dissemination: biological insights and clinical implications. / Sleeman, Jonathan P; Cady, Blake; Pantel, Klaus.
in: CLIN EXP METASTAS, Jahrgang 29, Nr. 7, 7, 2012, S. 737-746.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - The connectivity of lymphogenous and hematogenous tumor cell dissemination: biological insights and clinical implications.
AU - Sleeman, Jonathan P
AU - Cady, Blake
AU - Pantel, Klaus
PY - 2012
Y1 - 2012
N2 - Although tumor cells are found in the blood early after tumorigenesis, dissemination through the lymphatic system and in particular the formation of lymph node metastases has long been considered to be a driving force behind the formation of secondary tumors in distant vital organs. Contemporary experimental observations and clinical trial results suggest that this may not be the case. In this review we survey the evidence for both points of view, and examine the hypothesis that the prognostic relevance of lymph node metastases may lie in their ability to indicate that primary tumors are producing soluble factors that have the potential to promote metastasis at these distant sites, for example by releasing tumor cells from dormancy. Furthermore, the interconnectivity between the lymphatic and blood circulatory systems underscores the relevance of the analysis of the properties of circulating and disseminated tumor cells for prognostic evaluation, patient stratification and understanding the biology of metastasis. We therefore give an overview of the current state of the art in this field.
AB - Although tumor cells are found in the blood early after tumorigenesis, dissemination through the lymphatic system and in particular the formation of lymph node metastases has long been considered to be a driving force behind the formation of secondary tumors in distant vital organs. Contemporary experimental observations and clinical trial results suggest that this may not be the case. In this review we survey the evidence for both points of view, and examine the hypothesis that the prognostic relevance of lymph node metastases may lie in their ability to indicate that primary tumors are producing soluble factors that have the potential to promote metastasis at these distant sites, for example by releasing tumor cells from dormancy. Furthermore, the interconnectivity between the lymphatic and blood circulatory systems underscores the relevance of the analysis of the properties of circulating and disseminated tumor cells for prognostic evaluation, patient stratification and understanding the biology of metastasis. We therefore give an overview of the current state of the art in this field.
KW - Humans
KW - Lymph Nodes
KW - Lymphatic Metastasis
KW - Neoplastic Cells, Circulating
KW - Lymphatic System/pathology/physiopathology
KW - Neoplasms/pathology/physiopathology
KW - Stromal Cells
KW - Humans
KW - Lymph Nodes
KW - Lymphatic Metastasis
KW - Neoplastic Cells, Circulating
KW - Lymphatic System/pathology/physiopathology
KW - Neoplasms/pathology/physiopathology
KW - Stromal Cells
M3 - SCORING: Journal article
VL - 29
SP - 737
EP - 746
JO - CLIN EXP METASTAS
JF - CLIN EXP METASTAS
SN - 0262-0898
IS - 7
M1 - 7
ER -
