Introduction: During the past decade, the molecular mechanisms in the proce
ss of tumor metastases and angiogenesis have become better understood. Disc
ussion: The development of metastases requires complex molecular interactio
ns in the detachment of tumor cells from solid tumors, the degradation of t
he extracellular matrix, escape from apoptosis, locomotion in the extracell
ular matrix, immunologic escape in the circulation, adhesion to endothelial
cells, and extravasation from the circulation at the target site of metast
asis and induction of angiogenesis Conclusion: The increasing knowledge of
these complex mechanisms offers new therapeutic approaches in the treatment
of malignant diseases. This article will give an overview of the molecular
mechanisms involved in the development of metastases and angiogenesis, and
their clinical implications.