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. 2019 Jun 6;14:4187–4209. doi: 10.2147/IJN.S198319

Figure 3.

Figure 3

Characteristic stages of tumor-cell dissemination during metastasis.

Notes: Cells from primary tumors undergo epithelial–mesenchymal transition (EMT), leading to the loss of cell–cell adhesion and promoting local invasion into the blood vessels (intravasation). The CTCs produced are able to escape from blood vessels into distant organs of future metastasis (extravasation) after the reverse process (MET), induced by interaction with the local microenvironment.

Abbreviations: CTCs, circulating tumor cells; MET, mesenchymal-to-epithelial transition.