Medical Metastisis happens earlier than previously thought

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Recent research indicates that cancer spread may occur earlier than previously thought, with normal cells potentially transporting cancer to new sites before a tumor even develops. This dormant state can last until certain genes are activated, which may explain why some breast cancers lead to secondary tumors long after initial treatment. Secondary cancers are a major cause of mortality in breast cancer patients, highlighting the importance of understanding cancer spread mechanisms. Experts emphasize the need for further research to improve prevention strategies, especially as aging increases cancer risk. Additionally, the specificity of secondary tumors is notable, as certain cancer types, like prostate cancer, preferentially metastasize to specific organs, such as bone. The ongoing debate among medical professionals centers on whether this phenomenon is primarily driven by the cancer cells themselves or the surrounding environment, which has implications for treatment approaches.
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Cancer spread 'happens earlier'
http://news.bbc.co.uk/2/hi/health/7586444.stm
Apparently "normal" cells may carry cancer to new sites long before a tumour develops, lying dormant until key genes are activated, experts say.

US researchers say their findings, published in Science, could explain why some breast cancers lead to new tumours long after the disease is treated.

Secondary, or metastatic, cancers are responsible for the majority of deaths from the disease.

UK experts said it was essential to know more about how the cancer spreads.
Something to keep in mind as one ages, and the risk of cancer increases. Prevention is certainly much better than treatment.
 
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Another interesting point is that the secondary tumors are very specific: for example, prostate cancer cells will preferentially seed bone.

The discussion of this effect (among the MDs) is referred to as "the seed or the soil". As in, is this phenomenon due to the cell or to the environment. Yes, it may be both- but the question in that context revolves around treatment options, as opposed to basic science.
 
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