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To date, lymph node status is the most important predictor for clinical outcome. Clinical models of cancer metastasis have evolved from Halsted’s lymphatic dominant model in which the regional lymph nodes served as filters for cancer cells. When the filter was filled, the cancer cells would move to the other lymph nodes and distant sites. The Halsted’s model (1) was then replaced by Fisher’s model in which all breast cancers were considered to be systemic from their onset (2).

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Leong, S.P.L. et al. (2007). Patterns of Metastasis in Human Solid Cancers. In: Leong, S.P.L. (eds) Cancer Metastasis And The Lymphovascular System: Basis For Rational Therapy. Cancer Treatment and Research, vol 135. Springer, Boston, MA. https://doi.org/10.1007/978-0-387-69219-7_16

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