Summary.-In all 6 different murine tumours of spontaneous origin, a high proportion (22-95%) of the regional lymph nodes draining small intradermal tumours gave rise to tumours after their isogeneic transplantation as whole nodes. In separate experiments with 4 of these tumours, equivalent tumour-bearing mice had their tumours surgically excised and were observed for the development of regional nodal metastasis: in all 4, the incidence of nodal metastasis was significantly less than the corresponding frequency of tumour formation by transplanted nodes. After high-dose radiotherapy of intradermal carcinomas, there was a progressive fall in the incidence of positive regional node transplants from 48 to 96 h after irradiation. It is concluded that continual lymphatic dissemination of viable cancer cells is characteristic of malignant tumours, but that there is a relatively small chance of such cells giving rise to nodal metastatic growth.Related studies showed that the ability of a small number of cancer cells to give rise to tumours was very much greater if they were incorporated in a lymph node at transplantation than if they were transplanted directly as a suspension.
WE reported previously (Hewitt andBlake, 1975) that -.-' 40% of regional nodes draining intradermal grafts of WHT Squamous Carcinoma " D " contained viable tumour cells (as demonstrated by their giving rise to tumours after their isogeneic transplantation), whereas only 4% of regional nodes gave rise to metastasis if left in situ in mice whose tumours were excised. Since the proportion of nodes which gave rise to tumours on transplantation did not significantly increase with increase in size of the tumours drained, we concluded that a continual stream of tumour cells passes through the node during tumour growth, and that these cells have only a low potential for seeding in the nodes. We report here further related studies which allow (i) extension of our conclusions to a wider range of tumours; (ii) an assessment of the efficiency of whole-node transplantation as a means of detecting a small content of tumour cells; and (iii) an indication of the time taken for tumour cells to be cleared from the lymph node after ablation by surgery or irradiation of the tumour drained. By using non-immunogenic tumours of spontaneous origin and by confining our attention to natural dissemination of cells, we believe we have represented clinical phenomena more faithfully than can be achieved by the more common use of induced immunogenic tumours disseminated artificially by intralymphatic or intravascular injection of a dense bolus of cells.
MATERIALS AND METHODSMice.-Female mice of inbred strains WHT/Ht and CBA/Ht, bred in this laboratory, were used at 2-4 months of age.Tumours.-All 6 of the tumours used