In the past 25 years, there has been an increase in the frequency of t
wo major types of cancer in bivalves: disseminated neoplasia and germi
nomas, which cause debilitation and mortality in shellfish stocks. Dis
seminated neoplasia is common in softshell clams, Mya arenaria; the co
ckle, Cerastoderma edule; and blue mussels, Mytilus trossulus; and les
s common in edible oysters, Ostrea edulis; macomas, Macoma balthica; b
lue mussels, Mytilus edulis; and Olympia oysters, Ostrea conchaphila.
Germinomas occur more frequently in northern quahogs, Mercenaria merce
naria, and softshell clams, Mya arenaria. Certain geographical locatio
ns, especially along the northwest Pacific and northeast Atlantic Coas
ts of North America and the Atlantic Coast of Europe, are ''hot spots'
' for neoplasia. A genetic susceptibility of bivalves to tumor formati
on has been suggested, and the etiologies proposed include chemical ca
rcinogens, viruses, and other transmissible agents. However, no clear
cause-and-effect relationship has yet been conclusively demonstrated,
nor has the potential role of biotoxins as etiological agents been exa
mined. In the past 25 years, there has also been an increase in the fr
equency with which humans have been poisoned by consuming toxic bivalv
es. Filter-feeding bivalves accumulate biotoxins produced by toxic mic
roalgal blooms. This study traces the worldwide distribution of paraly
tic shellfish poisoning (PSP), diarrheic shellfish poisoning, neurotox
ic shellfish poisoning, amnesic shellfish poisoning, and venerupin she
llfish poisoning and of the microalgae and bivalve species associated
with the poisonings and then compares these distributions with the dis
tribution of neoplasia in bivalves. The incidence of disseminated neop
lasia in some affected bivalve species appears to parallel, both spati
ally and temporally, outbreaks of PSP that are associated with the tox
igenic dinoflagellates Alexandrium tamarense, A. minutum, A. fundyense
, and A. catenella. Shellfish that have accumulated potent saxitoxin a
nd its derivatives (neosaxitoxin and gonyautoxins) produced by these d
inoflagellates are highly toxic to humans. The presence of disseminate
d neoplasia parallels the presence of certain toxin derivatives in bot
h the bivalve and the Alexandrium spp. to which the bivalves are expos
ed. Disseminated neoplasia is common in softshell clams, M. arenaria,
that have apparently been exposed to and have accumulated gonyautoxins
, (GTX), and in particular GTX1 and GTX4, that are produced by A. tama
rense or A. fundyense. M. mercenaria is apparently not affected by dis
seminated neoplasia and does not usually accumulate toxins associated
with A. tamarense or A. fundyense. Bivalves that accumulate high conce
ntrations of saxitoxin or neosaxitoxin, such as butter clams, Saxidomu
s giganteus; surf clams, Spisula solidissima; sea scallops, Placopecte
n magellanicus; and California mussels, Mytilus californianus, are app
arently not affected by disseminated neoplasia or germinomas. In M. ar
enaria, the incidence of germinomas appears to be related to the distr
ibution of Alexandrium spp. blooms. In M. mercenaria, however, the dis
tribution of germinomas is not related to those Alexandrium spp. that
are commonly associated with PSP. The incidence of disseminated neopla
sia and germinomas is nor correlated with PSP outbreaks associated wit
h Pyrodinium bahamense var. compressum or Gymnodinium catenatum. Altho
ugh the epizootiological evidence presented here for a correlation bet
ween dinoflagellate toxin profiles, the deposition of toxins in bivalv
e tissues, and the presence of neoplasia in such bivalves is circumsta
ntial, it should be investigated in field and laboratory experiments.