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Life Science Dictionary

Metastasis

Oncology · Pathology

Say it: muh-TAS-tuh-sis

Metastasis is the spread of a cancer from its first site to distant organs, where escaped cells settle and grow into secondary tumors.

Also: metastases, secondary tumor, secondary cancer

Definition

What is metastasis?

Metastasis is how a cancer moves beyond the place where it began. Cells break away from the primary tumor, travel through the bloodstream or lymphatic system and start new growths, called metastases or secondary tumors, in other tissues. The ability to metastasize is what most clearly separates malignant tumors from benign ones, and metastatic disease causes most cancer deaths.

Spreading takes several steps. Cancer cells invade nearby tissue, squeeze through the walls of small blood or lymph vessels, survive the journey in the circulation, lodge in a distant capillary, push out into the new tissue and multiply. To grow beyond a tiny cluster, the new tumor must also trigger angiogenesis, the sprouting of blood vessels to feed it. Most escaping cells die on the way, and some survivors lie dormant for years.

A secondary tumor keeps the identity of the original cancer: colon cancer that has reached the liver is still colon cancer, made of colon cells, not liver cancer. Bone, liver, lung and brain are frequent sites. Cancer with distant spread is usually classed as stage 4.

Word parts

Where does the word “metastasis” come from?

meta-
change of place or stateGreek meta
stasis
standing, positionGreek stasis

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