Two big issues remaining for prostate cancer migration are cancer formation from hyperplasia and the way cancer to migrate. We may figure out if we can detect the beginning of different signaling of metastasis or lymphastasis.
The subtype of VEGF expression pattern makes the difference of the metastasis depending on between blood vessels and lymphatic vessels. The interaction of the ligand VEGF-C and its tyrosine kinase receptor VEGFR-2 induces the formation of paraneoplastic lymphatic vessels and let tumor cells exhibit the distant metastasis via lymph node.