MCAM and neoplasm: Sixth, METCAM has been shown to express in normal mesenchymal cells (smooth muscle, endothelium, and Schwann cells) in the tissue stroma and be a marker for the mesenchymal stem cells [57], METCAM may play an important role in regulating tumor dormancy or awakening, driving or preventing cancer cells to premetastatic niche, and formatting a microenvironment for favorable or unfavorable tumor growth in secondary sites.