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Extent of Disease Evaluation

Common Metastatic Sites

Spread Primary Site/Mets
Lymphatic Spread Most common for esophageal and stomach cancers; distant lymph nodes include supraclavicular, retropancreatic, hepatoduodenal, aortic, portal, retroperitoneal, mesenteric and inguinal
Intracavitary Spread From stomach—peritoneal seeding; also submucosal extension into esophagus or duodenum; direct extension into liver, transverse colon, pancreas or diaphragm
Hematogenous Spread Esophagus—liver, lung, pleura, kidney;
Stomach—liver, lung, peritoneum, bone;
Small intestine—liver, lung

Definitions

Key words/possible involvement:

Terms which indicate possible involvement by tumor. Common terms are provided, but the list is not all-inclusive.

Other words/no involvement:

Other terms seen in reports which indicate an abnormality but do not indicate a neoplastic process. Common terms are provided, but the list is not all-inclusive.

Key Information

Information to look for in the report of the study. Key information helps define the extent of disease.

Diagnostic Studies