Table 2. The values of the probabilities of various events of cancer spread.
Metastatic event | Probability of spread per cell p=-ln(1-L)/N | Source of information for the value of L | Value of p the probability of spread per cell for tumour masses of ∼5 mm | Nature of relationship between the value of p and tumour size |
---|---|---|---|---|
Lethal spread of breast cancer from the primary site in the breast to periphery, pathway unknown | p BC-overall | LBC-overall=the fraction of breast cancer deaths among all patients | 8.27 × 10−9 | p=aNb aBC-overall≈0.000056 bBC-overall≈-0.56203 |
Lethal spread of melanoma from the primary site in the skin to periphery, pathway unknown | p MEL-overall | LMEL-overall=the fraction of melanoma deaths among all patients | 1.23 × 10−7 | p=aNb aMEL-overall≈0.027 bMEL-overall≈-0.7836 |
Nonlethal spread of breast cancer from the primary site in the breast to the lymph nodes | p BC-to-nodes | LBC-to-nodes=the fraction of node positive patients among all patients | 1.75 × 10−8 | p=aNb aBC-to-nodes≈0.000092 bBC-to-nodes≈-0.69251 |
Lethal spread of breast cancer from the lymph nodes to the periphery | p BC-from-nodes | LBC-from-nodes=6.08%, the lethal contribution per positive lymph node | 7.96 × 10−9a | Undefined |
The size of nodal metastases was found to have a mean value of 5.3 mm (Table 3). The value shown here for pBC-overall is for a mass of 5 mm; for 5.3 mm, pBC-overall=7.49 × 10−09.