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 |
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.