This article reviews a long-standing hypothesis that metastases might be in
itiated through the generation of hybrids between primary tumour cells and
tumour-infiltrating leucocytes such as macrophages. In this concept the hyb
rids become metastatic through expression of the leucocyte motility phenoty
pe. A history of the hybrid hypothesis is presented along with recent evide
nce on how macrophage x tumour cell hybridization could account for some of
the most defining characteristics of metastatic cells: aneuploidy, enhance
d motility, aberrant glycosylation and, particularly seen in melanoma, phen
otypic diversity. (C) 2000 Lippincott Williams & Wilkins.