Extent of Disease Evaluation

Common Metastatic Sites

Spread Primary Site/Mets
Regional Spread Direct extension to bladder or rectum; invasion of seminal vesicles.
Lymphatic Spread Distant lymph nodes include cervical, scalene, supraclavicular (Virchow's or sentinel node in left supraclavicular region), common iliac, inguinal, and aortic (para-aortic, peri-arotic, lumbar) chains.
Hematogenous Spread Bone (osteoblastic lesions), liver, kidneys, adrenal glands, and occasionally lung and brain.

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