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Extent of Disease
Common Metastatic Sites
| Spread | Primary Site/Mets |
|---|---|
| Intracavitary Spread | Pancreas—direct extension to duodenum, stomach, spleen. Gallbladder—abdominal carcinomatosis with ascites; direct extension into liver, pancreas or diaphragm Liver—to diaphragm Extrahepatic bile ducts—liver, pancreas, ampulla of Vater, duodenum, colon, omentum, stomach, gallbladder. |
| Lymphatic Spread | From gallbladder peripancreatic along body and tail of pancreas. |
| Hematogenous Spread | Pancreas—lungs, liver, bone Gallbladder—lungs, pleura, diaphragm Liver—lungs, bone, other organs Bile ducts—distant metastases are unusual |
Extent of Disease Evalation
(Parentheses enclose the names of the organs for which the diagnostic study is useful.)
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.