Extent of Disease Evaluation
Common Metastatic Sites
|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
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.