Mel-STR clones expressing empty vector, wild-type or mutant ADAMTS18 (G312E, C638S, Q904X, P1035S) were subcutaneously injected into NOD/SCID mice. 22 days after injection, the mice were evaluated for lung metastasis formation by examining hematoxylin/eosin (H&E) stained sections of paraffin embedded lungs. (A) Graph shows the number of mice with ulcerations where 0.5 was used to score minor tumor ulcerations (< 2mm) and 1 was used to score major ulcerative tumors (~5–30mm). (B) Graph indicates the number of mice that had lung metastases. (C) Representative images of lung sections showing patterns of metastatic spread of the different mutants and the vector control are presented. (i) Mutant G312E mice, a group of neoplastic cells have impacted into a blood vessel. The malignant cells are beginning to grow into the lung parenchyma (arrow). The inset at higher magnification shows the characteristic atypia and an apoptotic cell (arrow). (ii) Mutant C638S mice, the metastatic tumor is actively growing and has invaded the surrounding lung tissues. Two bronchi are trapped within the tumor (arrows). Several mitoses are shown in the inset. (iii) Mutant C638S mice, the invading neoplastic tissue grows surrounding a bronchial structure (arrow). The atypia of the malignant cells is evident in the inset. (iv) Mutant Q904X mice, a web-like network of malignant cell is expanding into the lung parenchyma, spilling into alveolar spaces (black arrow). Disruption of the alveolar walls due to altered mechanical properties of the lung tissue is evident in the area surrounding the metastasis (white arrow). (v) Mutant P1035S mice, a group of neoplastic cells have impacted into a blood vessel, and tumor expansions are already growing into the lung (arrow). The cancer cells are shown at a higher magnification in the inset. (vi) Vector mice, a subpleural (black arrow, pleura) metastatic growth (white arrow) is growing into the lung parenchyma. The atypia of the neoplastic cells is shown in the inset.