2015
DOI: 10.1007/s00292-015-0072-5
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Metastasierung und Progressionsmechanismen von Weichteiltumoren

Abstract: Invasion and metastatic dissemination of tumor cells defines prognosis not only in patients with epithelial, but also mesenchymal neoplasms. Early and clinically inapparent micrometastases occur in many patients, and the risk for metastasis correlates with the tumor subtype and histologic tumor grade. In recent years and analogous to the situation in epithelial tumors, mechanisms of tumor cell dissemination in soft tissue tumors have been increasingly understood, and it has been shown that reorganization of th… Show more

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Cited by 4 publications
(3 citation statements)
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“…As a result of a sequentially complex process involving tumor cells, the host, and the tumor microenvironment, tumor recurrence and metastasis have long been important obstacles in cancer therapy and a major focus of cancer research [ 3 ]. The tumor microenvironment is a distinguishing feature of the tumor; it is a local homeostatic environment formed of tumor-infiltrated immune cells, stromal cells, and t active mediators released by these cells, all of which play an important role in tumor progression [ 4 ].…”
Section: Introductionmentioning
confidence: 99%
“…As a result of a sequentially complex process involving tumor cells, the host, and the tumor microenvironment, tumor recurrence and metastasis have long been important obstacles in cancer therapy and a major focus of cancer research [ 3 ]. The tumor microenvironment is a distinguishing feature of the tumor; it is a local homeostatic environment formed of tumor-infiltrated immune cells, stromal cells, and t active mediators released by these cells, all of which play an important role in tumor progression [ 4 ].…”
Section: Introductionmentioning
confidence: 99%
“…The incidence of STS is relatively low – with estimated 4–5 cases per 100,000 per year ( Stiller et al, 2013 ) – but the 5-year survival is only around 50% ( Ferrari et al, 2011 ). Although treatment of STS usually consists of a wide resection of the tumor, followed by radio- or chemotherapy in selected cases ( Casali and Blay, 2010 ), relapses and metastases are still an urgent clinical issue ( Steinestel and Wardelmann, 2015 ). Due to the heterogeneity in genetics and phenotypes of the different STS entities, many of the proposed laboratory biomarkers and clinical factors still are insufficient for a satisfying prognostic evaluation of the individual patient’s outcome.…”
Section: Introductionmentioning
confidence: 99%
“…The incidence is low, with around 6:100,000 persons between 1973 and 2006 [ 4 ]; however, the survival rate is still low with around 50% after 5 years and 30% after 15 years [ 4 ]. In particular, metastasization is still an urging clinical issue [ 5 ]. Soft tissue sarcomas metastasize preferentially into the lung and the brain, with around 20% of patients having developed metastases at diagnosis [ 6 ].…”
Section: Introductionmentioning
confidence: 99%