1995
DOI: 10.1001/archsurg.1995.01430020015001
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Observations on the Developmental Patterns and the Consequences of Pancreatic Exocrine Adenocarcinoma

Abstract: Metastasizing cells frequently bypass the initial filters in lymph nodes, liver, or lung to become established in secondary or tertiary sites. Intrapancreatic metastases or multicentric tumors also may develop more frequently than generally has been recognized. Small cancers (< 2 cm in diameter) are often associated at autopsy with remote metastases. These facts would appear to limit the usefulness of the current staging of resected cancers of the pancreas. Cancers of the body or tail are characterized by tran… Show more

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Cited by 97 publications
(60 citation statements)
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“…Pancreatic cancer usually metastized to liver and peritoneal cavity and less common to lung, bone and brain [5,8] and less frequently to ovary, ureter and umbilical region, bony metastasis to appendicular skeleton is common but metastasis to scapular region is rare. There are few case reports in which cancer like lung, esophagus, colon, germ cell tumor develop metastasis to scapula [12][13][14][15].To the best of our knowledge there is only one abstract published in literature which reported isolated right scapula metastasis from ampullaryadenocarcinoma [16].Patients presented with metastasis, usually have one or more site of disease most common being the liver followed by peritoneum and lungs [17][18][19]. In present study, patient has liver as well as skeletal metastasis including scapular involvement.…”
Section: Discussionmentioning
confidence: 99%
“…Pancreatic cancer usually metastized to liver and peritoneal cavity and less common to lung, bone and brain [5,8] and less frequently to ovary, ureter and umbilical region, bony metastasis to appendicular skeleton is common but metastasis to scapular region is rare. There are few case reports in which cancer like lung, esophagus, colon, germ cell tumor develop metastasis to scapula [12][13][14][15].To the best of our knowledge there is only one abstract published in literature which reported isolated right scapula metastasis from ampullaryadenocarcinoma [16].Patients presented with metastasis, usually have one or more site of disease most common being the liver followed by peritoneum and lungs [17][18][19]. In present study, patient has liver as well as skeletal metastasis including scapular involvement.…”
Section: Discussionmentioning
confidence: 99%
“…Peritoneal spread is common in pancreatic adenocarcinoma occurring in up to 55% of patients in autopsy series [37][38][39]. Due to its unique location in the retroperitoneum, pancreatic adenocarcinoma spread to the peritoneum can vary based on the location of the primary tumor.…”
Section: Staging Nodal Diseasementioning
confidence: 99%
“…Liver metastases is one of the most common forms of hematogenous spread in patients with various malignancies (1,2), and the development of effective treatment modalities for liver metastases using convenient animal models is highly desirable. Because the liver is the largest solid organ, a reliable animal model of liver tumors is also valuable for in vivo evaluation of various therapeutic agents.…”
Section: Introductionmentioning
confidence: 99%