PATHOPHYSIOLOGY PROCTORED EXAM JEFFERSON COLLEGE
A 58-year-old woman with a history of colon cancer presents with 3 months of increasing shortness of breath. A chest x-ray reveals numerous "coin lesions" in both lungs. Histologic examination of an open lung biopsy demonstrates metastatic colon cancer. Which of the following changes in cell behavior was the first step in the process of hematogenous metastasis from the colon to lung in this patient?
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