“…One of the 2 reactive patients with Stage III cancer initially had a minimal tumour burden and, as the tumour burden increased, showed a loss of reactivity. By other in vitro assays of CMI or humoral immunity, a diminution of tumour-specific immunity in melanoma patients with disseminated disease has been reported (Morton et al, 1968;Lewis et al, 1969;Currie and Basham, 1972;Cochran et al, 1973;Heppner et al, 1973;and Unsgaard and O'Toole, 1975 Coggin et al, 1974). We suggested that soluble tumour antigen in the microenvironment of the tumour prevents rejection (Thomson, 1975) and, as the tumour load increases, sufficient tumour antigen is released systemically to neutralize systemic anti-tumour immunity.…”