Mast cells, the only source of heparin in the body, are common in brea
st carcinoma. Due to metachromatic staining of heparin-proteoglycans r
eleased from the mast cells toluidine blue may stain connective tissue
a reddish-purple. This study shows that tumour cells in the vicinity
may also be coated with metachromatic substance. Such bl vivo coating
does not appear to have been reported previously. In experimental stud
ies in vitro coating has been described following suspension of mouse
tumour cells in a heparin solution and preincubation of ascitic tumour
cells in heparin has given reduction in survival time after transplan
tation. In human breast carcinoma stromal metachromasia may under cert
ain circumstances be indicative of poor prognosis. The biological impl
ications of in vivo tumour cell coating with heparin are under investi
gation.