• Clonal selection model
    • Clonal expansion, growth, diversification, angiogenesis
    • Subclone randomly acquires the necessary traits to disseminate successfully
    • Adhesion to and invasion of basement membrane
    • Passage through ECM
    • Intravasation
    • Tumor cell embolus
    • Adhesion to basement membrane
    • Extravasation
    • Metastatic deposit
    • Angiogenesis and growth