Module 2: Understanding Cancer Metastasis • Topic 8 of 13
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Module 2: Understanding Cancer Metastasis

A deep dive into the complex process of cancer metastasis, from molecular mechanisms to clinical applications and therapeutic strategies.

Organ-Specific Metastasis: The Seed and Soil Principle

Understanding why different cancers prefer specific metastatic sites

Why Don't All Cancers Metastasize Everywhere?

In 1889, Stephen Paget observed that breast cancer metastases were not randomly distributed throughout the body but showed clear preferences for certain organs. He proposed the "seed and soil" hypothesis: cancer cells (the "seed") can only successfully grow in compatible organ environments (the "soil").

This fundamental principle explains the predictable patterns of metastatic spread we observe clinically and has profound implications for surveillance, prevention, and treatment strategies.

Explore Metastatic Patterns by Cancer Type

Breast Cancer

Bone
Liver
Lung

Bone metastases: 2-3 years median survival

Lung Cancer

Brain
Bone
Liver

Brain metastases: 4-6 months median survival

Colorectal Cancer

Liver
Lung
Peritoneum

Liver metastases: 6-20 months median survival

Prostate Cancer

Bone
Lymph nodes

Bone metastases: 1-3 years median survival

Melanoma

Brain
Liver
Lung

Brain metastases: 4-5 months median survival

Select a cancer type to see its metastatic pattern

Paget's "Seed and Soil" Hypothesis in Action

Breast Cancer Cells
↓
Bone Microenvironment
High Compatibility
Lung Cancer Cells
↓
Brain Microenvironment
Moderate Compatibility
Colorectal Cancer Cells
↓
Liver Microenvironment
High Compatibility

Clinical Implications

Surveillance Strategies

  • Targeted imaging of high-risk organs
  • Biomarker monitoring for specific sites
  • Risk-stratified follow-up protocols

Therapeutic Approaches

  • Site-specific prevention strategies
  • Organ-targeted drug delivery
  • Microenvironment modification