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. |
Extent of Disease Evaluation
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
