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Abstract
        Metastatic  spread  of  disease  accounts  for  the  overwhelming  majority  of   cancer-related  deaths,  as  current  therapies  are  largely  ineffective  in  treating  this   phase  of  cancer.  This  highlights  our  lack  of  understanding  of  disease  progression   surrounding  metastatic  spread  of  disease. This  dissertation  provides  experimental  evidence  that  cell  fusion  is  a  mechanism   for  acquisition  of  metastatic  phenotypes,  and  also  presents  the  identification  of  a   novel  prognostic  circulating  biomarker  that  may  guide  treatment  regimens  in   patients.