A) In hyperplastic lesions, cells gradually lose polarity and grow into the luminal space. The myoepithelial cell layer and the basement membrane (BM) remain intact and the surrounding ECM is compliant. B) In carcinoma in situ lesions, cell polarity is lost and the lumen is filled by proliferating cells. This volume expansion and resistance from the BM and interstitial ECM lead to increased forces between tumor cells and the stromal matrix. Simultaneously, ECM components are abnormally deposited and remodeled, which results in increased ECM and tissue stiffness, and in turn, cell-generated tension. C) In invasive lesions, tumor cells break down the BM and invade into the interstitial ECM. The reciprocal forces between tumor cells and the ECM continuously increase. Abnormal deposition and remodeling of ECM collagen further increase ECM and tissue stiffness. Tumor cells generate greater tension in response to this increased mechanical stimulation. As tumor cells invade through the BM and ECM, they experience a range of different forces from the dense ECM network. These external forces together with genetic and epigenetic events can change the contractility and viscoelasticity of tumor cells. D) During intravasation and extravasation, tumor cells experience various forces including shear forces exerted by the ECM, blood flow and neighboring cells, which facilitate their transport and attachment to the endothelium. E) and F) Cancer cells often metastasize to different organs, which can have very different microenvironmental and mechanical properties (e.g. E. soft tissue lung, F. stiff tissue bone). The mechanics of remote tissues and cancer cells may regulate cell dormancy, proliferation and differentiation in these organs.