| 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 |
(Parentheses enclose the names of the organs for which the diagnostic study is useful.)
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.