Intraperitoneal Spread of Malignancies

  • Morton A. Meyers


The spread of neoplasms within the peritoneal cavity occurs by direct invasion, intraperitoneal seeding, embolic metastases, and lymphatic extension (27,40). Recent insights and basic correlation with the pathogenesis of the intraabdominal spread of malignancies have established that the pattern of involvement and the individual effects of secondary malignancies of the bowel often present characteristic roentgen features (25–27,31). These reflect the mode of dissemination and thereby indicate the primary site. They are based on the application of certain gross anatomic relationships, the dynamic factors of the flow of ascites, and conditions of hematogenous dissemination. Distinction between the major pathways of spread (Table 2–1) is of critical practical importance for several reasons: (a) It closely correlates the roentgen changes with the pathogenesis and provides a rational system for radiologic analysis, (b) Since it is not rare for a malignant neoplasm to be manifested initially by its gastrointestinal metastasis or extension (9), recognition of the type of secondary involvement can aid in the search for the primary lesion.


Transverse Colon Direct Invasion Ileal Loop Transverse Mesocolon Breast Metastasis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer Science+Business Media New York 1976

Authors and Affiliations

  • Morton A. Meyers
    • 1
  1. 1.Cornell University Medical CollegeNew YorkUSA

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