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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.

Diagnostic Studies

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