Tümör yayılım yolları ve metastaz paternleri

Özet

Metastaz dağılımını yayılım yoluyla birlikte okumak, primer tümörü aramayı ve hastalık yükünü anatomik olarak haritalamayı kolaylaştırır. Hematogen yayılım doğrudan damar içi giriş ve arteriyel dolaşıma geçişle gerçekleşirken, lenfatik tutulum primer bölgenin drenaj zincirini izler; transkoelomik ekim ise peritoneal veya plevral yüzeylerde nodüler implantlara yol açabilir. Komşuluk invazyonu ve perinöral yayılım belirli doku koridorlarını izler; bu uzanımın bir kısmı rutin BT’de doğrudan seçilemeyebilir. Yayılım yolunu yanlış varsaymak primer tümör aramasını daraltabilir, metastatik hastalığın kapsamını veya kritik yapı invazyonunu eksik gösterebilir.

Faz ve pencere

Portal tanısal

Venöz faz toraks-abdomen-pelvis BT’de karaciğer ve diğer solid organ odakları, portal/mezenterik venöz tümör trombüsü, nodal zincirler ve peritoneal implantlar birlikte görülebilir; akciğer için akciğer penceresi ve uygun toraks kapsamı eklenir. Primer tümöre özgü arteriyel veya gecikmiş faz gereksinimi bu genel venöz incelemeden ayrıdır.

Önerilen pencereler: Akciğer (G 1500 / M -600), Mediasten (G 350 / M 50), Batın (G 400 / M 50), Karaciğer (G 150 / M 30), Kemik (G 1800 / M 400), Yumuşak doku (G 400 / M 40).

BT bulguları

• Hematojen pulmoner yayılım — farklı loblarda dağınık, yuvarlak solid nodüller; kavitasyon bazı skuamöz tümörlerde veya tedavi sonrasında görülebilir.
• Hematojen hepatik yayılım — karaciğerde çok odaklı hipoatenüasyonlu kitleler görülebilir; odakların dağılımı primer tümörün biyolojisine bağlı olarak değişebilir.
• Lenfatik zincir tutulumu — primer organdan beklenen drenaj boyunca ardışık veya atlamalı nodal büyüme izlenebilir.
• Lenfanjitik pulmoner yayılım — interlobüler septa ve peribronkovasküler interstisyumda nodüler kalınlaşma, sıklıkla asimetrik ve akciğer hacmi korunmuş görünüm.
• Transkoelomik ekim — omentum ve periton boyunca nodüler implantlar, plak tarzı kalınlaşma, omental kekleşme ve değişken miktarda asit.
• Plevral ekim — fissüral veya kostal plevrada nodüller ve kalınlaşma; eşlik eden tek taraflı efüzyon olabilir.
• Doğrudan komşuluk invazyonu — primer kitlenin bitişik organ duvarı, yağ planı veya damar lümenine kesintisiz uzanması; yalnız temas invazyonu kanıtlamaz.
• Perinöral yayılım klinik olarak semptomlarla belirlenirken, radyolojik bulgular genellikle tanımlanamaz; ileri manyetik rezonans nörografi yakın yapıları değerlendirmede yardımcı olabilir ancak mikroskobik invazyonu tek başına tespit etmez.

Normalde

Metastaz ararken dağılımı tek bir odak çevresinde değil, ilgili venöz yatak, lenfatik istasyon veya serozal yüzey boyunca izleyin.

Ayırıcı tanı

Miliyer enfeksiyon

akciğerde benzer çapta yaygın mikronodüller oluşturabilir; metastazlardan ayırt edilmelerinde klinik bağlam ve lezyonların boyutsal eşitliği göz önünde bulundurulmalıdır.

Sarkoidoz benzeri reaksiyonlarda bilateral hiler ve mediastinal lenfadenopati ile pulmoner nodüller görülebilir.

Peritoneal tüberküloz

düzgün periton kalınlaşması, nekrotik nodlar ve loküle asit karsinomatozu taklit edebilir.

Lenfoma

özellikle non-Hodgkin lenfoması periferik sinir sistemini tutabilir (nörolimfatomatoz); tanıda sitopatoloji ve immünfenotipleştirme gereklidir.

İnflamatuvar serozit

düzgün ve yaygın yüzey kalınlaşması, belirgin nodüler implant olmadan asit yapabilir.

Tuzaklar

• Organ tropizmini kesin bir kural gibi kullanmayın; bilinen primerin beklenen metastaz alanı dışında görülen odak da gerçek olabilir.
• Plevral veya peritoneal sıvı tek başına serozal metastazı kanıtlamaz; yüzey nodülü, kalınlaşma ve seri değişimle birlikte yorumlayın.
• Nodal dağılımda atlama metastazı mümkündür; yalnız bir sonraki istasyona bakıp daha uzak zincirleri taramayı bırakmayın.
• BT’de sinir boyunca belirgin kitle bulunmaması perinöral yayılımı dışlamaz; klinik kraniyal nöropati veya foraminal bulgu varsa uygun MR korelasyonu gerekebilir.

Kendini dene

1. Kolon kanserli hastada omental yağ içinde çok sayıda nodül, peritoneal kalınlaşma ve asit görülüyor. En olası yayılım yolu hangisidir?

   • Transkoelomik ekim
   • Hematojen yayılım
   • Lenfanjitik yayılım
   • Perinöral yayılım
   Cevabı göster

   Transkoelomik ekim. Omental ve peritoneal yüzey implantları transkoelomik yayılımla uyumludur. Hematojen yayılım parankimal organlarda odak yapar; lenfanjitik yayılım interstisyel septaları tutar; perinöral yayılım sinir koridorlarını izler.

2. Akciğer BT’de nodüller yerine düzensiz interlobüler septal ve peribronkovasküler kalınlaşma baskın. Hangi metastatik patern düşünülür?

   • Lenfanjitis karsinomatoza
   • Miliyer metastaz
   • Plevral ekim
   • Hematojen nodül
   Cevabı göster

   Lenfanjitis karsinomatoza. Septal ve peribronkovasküler interstisyumun nodüler kalınlaşması lenfanjitik yayılımı düşündürür. Miliyer veya hematojen metastazlar parankimal nodüller oluşturur; plevral ekim akciğer interstisyumunu değil plevra yüzeyini tutar.

Bu konunun yer aldığı turlar

• Onkolojik BT: evreleme ve yanıt değerlendirmesi

Kaynaklar

Bu sayfadaki 37 cümle ve 2 quiz sorusu aşağıdaki kaynaklardan alıntılarla tek tek karşılaştırıldı; 7 cümle bu karşılaştırmada düzeltildi (2026-10-08).

1. Solitary colonic metastasis from hepatocellular carcinomapmc.ncbi.nlm.nih.gov
2. Prostate Cancer Recurrence Mimicking a Primary Paranasal Sinus Tumor on 18 F‐FDG PET/CT During Treatment for Metastases After 10 Years of Remissionpmc.ncbi.nlm.nih.gov
3. Delayed intracranial lesions following cardiac myxoma resection in a patient with concurrent cerebral embolism: a diagnostic challenge in the absence of pathological evidencepmc.ncbi.nlm.nih.gov
4. Metastatic colorectal carcinoma to the thyroid gland: A case report and literature reviewpmc.ncbi.nlm.nih.gov
5. The space of Retzius: anatomy, imaging features, and patterns of disease spreadpmc.ncbi.nlm.nih.gov
6. [Imaging of Mesentery and Omentum].pubmed.ncbi.nlm.nih.gov
7. Practical clinical guidelines for contouring the trigeminal nerve (V) and its branches in head and neck cancers.pubmed.ncbi.nlm.nih.gov
8. Patterns of metastases progression- The linear parallel ratio.pubmed.ncbi.nlm.nih.gov
9. Nomenclature and Lymphatic Drainage Patterns of Abdominal Lymph Nodes.pubmed.ncbi.nlm.nih.gov
10. Carcinoma of the Vulva.pubmed.ncbi.nlm.nih.gov
11. Two types of lateral extension in juvenile nasopharyngeal angiofibroma: diagnostic and therapeutic management.pubmed.ncbi.nlm.nih.gov
12. Gastric cancer: Patterns of disease spread via the perigastric ligaments shown by CT.pubmed.ncbi.nlm.nih.gov
13. Ameloblastoma with varied sites of metastasis: report of two cases and literature review.pubmed.ncbi.nlm.nih.gov
14. Patterns of extralaryngeal spread of laryngeal cancer: thyroid cartilage penetration occurs in a minority of patients with extralaryngeal spread of laryngeal squamous cell cancers.pubmed.ncbi.nlm.nih.gov
15. An atypical metastatic pattern of papillary thyroid carcinoma presenting with concurrent neck skin and lung involvement in the absence of cervical lymph node spread, a rare case report and literature review.pubmed.ncbi.nlm.nih.gov
16. Fallopian tube cancer with inguinal lymph node metastasis as the first symptom: A case study and review of the literature.pubmed.ncbi.nlm.nih.gov
17. FDG PET/CT in staging of advanced epithelial ovarian cancer: frequency of supradiaphragmatic lymph node metastasis challenges the traditional pattern of disease spread.pubmed.ncbi.nlm.nih.gov
18. The space of Retzius: anatomy, imaging features, and patterns of disease spread.pubmed.ncbi.nlm.nih.gov
19. Computed tomographic features of pulmonary lesions in periarticular versus systemic histiocytic sarcomas in dogs.pubmed.ncbi.nlm.nih.gov
20. Routes of Cancer Dissemination: Distinguishing Lymphatic and Hematogenous Spread from Venous Entry to Systemic Arterial Distribution.pubmed.ncbi.nlm.nih.gov
21. Reimagining Nodal Staging in Colorectal Cancer: Toward a Novel Non-Invasive Imaging Approach.pubmed.ncbi.nlm.nih.gov
22. HPV-associated Oropharyngeal Squamous Cell Carcinoma: An Imaging Framework for AJCC Version 9 TNM Staging.pubmed.ncbi.nlm.nih.gov
23. Morphology and Pathophysiology of 10 Different Types of Peritoneal Metastases.pubmed.ncbi.nlm.nih.gov
24. Gastric metastasis from colorectal cancer: an updated comprehensive review of epidemiology, mechanisms, diagnosis, and management.pubmed.ncbi.nlm.nih.gov
25. From Primary Tumor to Peritoneal Niche: Microenvironmental Divergence in Gastric Cancer Peritoneal Metastasis.pubmed.ncbi.nlm.nih.gov
26. Dissemination along the hepatocaval ligament in a caudate-origin intrahepatic cholangiocarcinoma: a case report with video.pubmed.ncbi.nlm.nih.gov
27. Advanced magnetic resonance neurography for preoperative facial nerve assessment and surgical planning in parotid tumors: a review of current evidence and surgical translation.pubmed.ncbi.nlm.nih.gov
28. Navigating pelvic anatomy for exenteration: a clinical guide for radiologists.pubmed.ncbi.nlm.nih.gov
29. Exploring the involvement of serine proteases in neutrophil extracellular traps: a review of mechanisms and implications.pubmed.ncbi.nlm.nih.gov
30. Staged management of infected diabetic foot ulcers: a 300-patient cohort study on prognostic grading, pathogen dynamics, and individualized risk prediction.pubmed.ncbi.nlm.nih.gov
31. Diagnostic Value of the Sentinel Lymph Node Technique in Patients with Muscle-Invasive Bladder Cancer.pubmed.ncbi.nlm.nih.gov
32. Comprehensive Computed Tomography Evaluation of Gastric Cancer: 2026 Consensus Recommendation From the Korean Society of Abdominal Radiology.pubmed.ncbi.nlm.nih.gov
33. Neuroendocrine neoplasms in uncommon gastrointestinal sites: A case series and literature review.pubmed.ncbi.nlm.nih.gov
34. Splenic Vein Tumor Thrombosis in a Patient With an Oligometastatic Pancreatic Neuroendocrine Tumor: A Case Report and Literature Review.pubmed.ncbi.nlm.nih.gov
35. Combined hepatocellular cholangiocarcinoma: A rare hepatic malignancy exhibiting concurrent imaging features of hepatocellular carcinoma and intrahepatic cholangiocarcinoma.pubmed.ncbi.nlm.nih.gov
36. Triple-Phase Computed Tomography for Differentiating Canine Cutaneous and Subcutaneous Mast Cell Tumors From Benign Lesions: A Size-Based Evaluation.pubmed.ncbi.nlm.nih.gov
37. Liver Imaging Reporting and Data System (LI-RADS): A Comprehensive Review.pubmed.ncbi.nlm.nih.gov
38. Lung squamous cell carcinoma complicated with immune checkpoint inhibitor-associated active tuberculosis: a case report and literature review.pubmed.ncbi.nlm.nih.gov
39. Beyond Chronic Rhinosinusitis: Multisystem Granulomatosis With Polyangiitis Presenting With Cavitary Pulmonary Nodules and Sinonasal Destruction.pubmed.ncbi.nlm.nih.gov
40. Incidental Lung Lesions on the CT Component of Oncologic FDG PET/CT: A Pictorial Review of Interpretive Pitfalls and Diagnostic Clues.pubmed.ncbi.nlm.nih.gov
41. Cystic lesions and their mimics involving the intrahepatic bile ducts and peribiliary space: diagnosis, complications, and management.pubmed.ncbi.nlm.nih.gov
42. Tumor-like conditions that mimic liver tumorspubmed.ncbi.nlm.nih.gov
43. Liver imaging and pregnancy: what to expect when your patient is expecting.pubmed.ncbi.nlm.nih.gov
44. Synchronous metastatic differentiated high-grade thyroid carcinoma in lymph node from classic papillary thyroid carcinoma: a case report and literature review.pubmed.ncbi.nlm.nih.gov
45. Multiparametric Magnetic Resonance Imaging Without Artificial Erection for Preoperative Staging of Primary Penile Carcinoma.pubmed.ncbi.nlm.nih.gov
46. Risk-adapted neck dissection in salivary gland carcinoma: integrating occult nodal metastasis patterns with contemporary guidelines.pubmed.ncbi.nlm.nih.gov
47. Isolated pulmonary lymphangitic carcinomatosis as the initial manifestation of renal cell carcinoma.pubmed.ncbi.nlm.nih.gov
48. Complete remission following targeted therapy in BRAF V600E: mutant pulmonary lymphangitic carcinomatosis secondary to rectal cancer-a case report.pubmed.ncbi.nlm.nih.gov
49. Pulmonary lymphangitic carcinomatosis mimicking interstitial lung disease.pubmed.ncbi.nlm.nih.gov
50. Ovarian Metastasis from Invasive Lobular Carcinoma of the Breast: A 6-Case Series with Emphasis on Diagnostic Challenges and the Value of Biopsy.pubmed.ncbi.nlm.nih.gov
51. CT and MR in peritoneal malignancies: pearls and pitfalls at preoperative examination.pubmed.ncbi.nlm.nih.gov
52. Computed tomographic findings in dogs with ovarian tumors: A tortuous ovarian artery consistently identifies ovarian origin in complex abdominal masses.pubmed.ncbi.nlm.nih.gov
53. Suspected Paramalignant Pleural Effusion as the Primary Presentation of Disseminated Cholangiocarcinoma in a Cat.pubmed.ncbi.nlm.nih.gov
54. Pleural Metastatic Melanoma with Refractory Hemorrhagic Effusion: A Case Report.pubmed.ncbi.nlm.nih.gov
55. Thoracic and Umbilical Endometriosis Concurrently Presenting During Secondary Subfertility Evaluation.pubmed.ncbi.nlm.nih.gov
56. Adrenohepatic Adhesion/Fusion Mimicking Hepatic Invasion: Two Cases of Benign Right Adrenal Lesions and a Review of the Literature.pubmed.ncbi.nlm.nih.gov
57. Neoadjuvant Avelumab Plus Axitinib Enabling Curative Resection of Renal Cell Carcinoma With Direct Liver Invasion: A Case Report.pubmed.ncbi.nlm.nih.gov
58. Neurolymphomatosis: A Comprehensive Review of Clinical and Imaging Features.pubmed.ncbi.nlm.nih.gov
59. Current Evidence and Clinical Implications of Full-Endoscopic Spine Surgery for Post-Vertebroplasty Lumbar Radiculopathy: A Comprehensive Review.pubmed.ncbi.nlm.nih.gov
60. Immunotherapy and Radiation for Clinical Perineural Invasion in Cutaneous Squamous Cell Carcinoma.pubmed.ncbi.nlm.nih.gov
61. Case Report: Prostate metastasis from pulmonary sarcomatoid carcinoma: the first reported case and clinical implications of palliative radiotherapy.pubmed.ncbi.nlm.nih.gov
62. Contrast-Enhanced CT of the Coelom in a Female Bald Eagle (<i>Haliaeetus leucocephalus</i>): Development of a Preliminary CT-Based Anatomical Segmentation Workflow.pubmed.ncbi.nlm.nih.gov
63. Ultrasonographic Assessment of the Lungs in Asiatic Elephants (Elephas maximus).pubmed.ncbi.nlm.nih.gov
64. Computed tomographic Characteristics of Presumed Normal Canine Iliosacral Lymph Nodes.pubmed.ncbi.nlm.nih.gov
65. Computed Tomographic Features of Intra-Abdominal Testicular Torsion in Cryptorchid Dogs.pubmed.ncbi.nlm.nih.gov
66. Radiomics for Differentiating Prostate-Specific Membrane Antigen (PSMA)-Positive and PSMA-Negative Lymph Nodes in Prostate Cancer: An Exploratory 68Ga-PSMA PET-CT Study.pubmed.ncbi.nlm.nih.gov
67. Special Issue: EACR 2026 Congress: Innovative Cancer Science, 8-11 June 2026.pubmed.ncbi.nlm.nih.gov
68. The Chinese Society of Clinical Oncology (CSCO): Clinical guidelines for the diagnosis and treatment of gastric cancer, 2023.pubmed.ncbi.nlm.nih.gov
69. Sequential targeted therapy in synchronous dual-primary lung adenocarcinomas with EGFR and RET alterations: a 5-year follow-up case report.pubmed.ncbi.nlm.nih.gov
70. New insights into imaging of pulmonary metastases from extra-thoracic neoplasms.pubmed.ncbi.nlm.nih.gov
71. A diagnostic performance study of multiplex polymerase chain reaction-based targeted next-generation sequencing for the accurate identification of <i>Mycobacterium</i> tuberculosis in bronchoalveolar lavage fluid.pubmed.ncbi.nlm.nih.gov
72. Double Diagnostic Dilemma in Metaplastic Breast Carcinoma.pubmed.ncbi.nlm.nih.gov
73. Evaluation of the Frequency and Patterns of Cervical Cancer Recurrence After Treatment Using ^18F-FDG PET-CT: A Cross-Sectional Study.pubmed.ncbi.nlm.nih.gov
74. Peritoneal tuberculosis mimicking peritoneal carcinomatosis in a patient with T-cell lymphoma: Diagnostic pitfalls and radiologic correlation.pubmed.ncbi.nlm.nih.gov
75. Case Report: Diagnostic and therapeutic reflections on one case of greater omental adhesion misdiagnosed as peritoneal metastasis following rectal cancer surgery.pubmed.ncbi.nlm.nih.gov
76. Diagnostic Imaging of Extrapulmonary Tuberculosis Across Organ Systems.pubmed.ncbi.nlm.nih.gov
77. Theranostics in Radiation Medicine: Integrating Radiopharmaceutical Therapy and External-Beam Radiotherapy.pubmed.ncbi.nlm.nih.gov
78. Beyond the tumor microenvironment: a hierarchical immune-circuit model of immune checkpoint blockade resistance.pubmed.ncbi.nlm.nih.gov
79. Diagnosis and Management of Sarcoidosis-like Reaction in Adjuvant Immunotherapy: A Comprehensive Review and Clinical Implications.pubmed.ncbi.nlm.nih.gov
80. Lymphocyte-Predominant Ascites as a Clue to Peritoneal Tuberculosis: Two Case Reports and a Literature Review.pubmed.ncbi.nlm.nih.gov
81. Comparison of Two Different Accesses Single Orifice Percutaneous Endoscopic Surgery in Diagnosis of Ascites of Unknown Origin: A Retrospective Study.pubmed.ncbi.nlm.nih.gov
82. Dual Targeting of Mesothelin and CD19 with Chimeric Antigen Receptor-Modified T Cells in Patients with Metastatic Pancreatic Cancer.pubmed.ncbi.nlm.nih.gov
83. Clonal dominance defines metastatic dissemination in pancreatic cancer.pubmed.ncbi.nlm.nih.gov
84. Advances in molecular pathology and therapy of non-small cell lung cancer.pubmed.ncbi.nlm.nih.gov
85. Optimizing Precision Medicine for Breast Cancer Brain Metastases with Functional Drug Response Assessment.pubmed.ncbi.nlm.nih.gov
86. Practical implications of the World Health Organization Reporting System for Lymph Node, Spleen, and Thymus Cytopathology: Categories and ancillary testing for subtyping of hematolymphoid tumors on FNA biopsy cytopathology using a pattern-based approach.pubmed.ncbi.nlm.nih.gov
87. Computed Tomography-Based Radiomic Nomogram to Predict Occult Pleural Metastasis in Lung Cancer.pubmed.ncbi.nlm.nih.gov
88. Nodal Staging in Patients with Locally Advanced Non-Small Cell Lung Cancer: Indications, Approaches, and Impact on Downstream Treatment Selection.pubmed.ncbi.nlm.nih.gov
89. Cervical Skip Metastases and Extensive Central Venous Thrombosis as the Initial Presentation of High-Grade Prostate Adenocarcinoma With Discordant PI-RADS 3 Findings: A Case Report and Diagnostic Challenge.pubmed.ncbi.nlm.nih.gov
90. PET Imaging in Vulvar Cancer: A Literature Review of the Current Evidence and Clinical Applications.pubmed.ncbi.nlm.nih.gov
91. [⁶⁸Ga]Ga-PSMA-11 PET/CT for baseline staging of high-risk prostate cancer: A real-world study.pubmed.ncbi.nlm.nih.gov
92. Percutaneous left renal vein stenting in posterior nutcracker syndrome: technical and antithrombotic nuances - a case report.pubmed.ncbi.nlm.nih.gov
93. Contrast-Enhanced Low-Mechanical-Index Endoscopic Ultrasound for the Evaluation of Focal Liver Lesions.pubmed.ncbi.nlm.nih.gov
94. Clinical applications of 4D flow magnetic resonance imaging in hepatic vascular disorders: practical biomarkers, protocol design, and translational implementation.pubmed.ncbi.nlm.nih.gov
95. Tislelizumab plus chemotherapy followed by anlotinib maintenance therapy in a patient with extensive-stage small cell lung cancer and intracranial recurrence after palliative whole-brain radiotherapy: a case report and literature review.pubmed.ncbi.nlm.nih.gov
96. Renal Medullary Carcinoma: Utility of [¹⁸F]FDG PET/CT in Evaluating Extent of Disease and Impact on Treatment Management.pubmed.ncbi.nlm.nih.gov
97. Spleens With Disseminated Lymphoma Exhibit Higher Standardized Uptake Value Maximum, Metabolic Tumor Volumes, and Total Lesion Glycolysis on Fluorine-18 Fluorodeoxyglucose Positron Emission Tomography/Computed Tomography.pubmed.ncbi.nlm.nih.gov
98. Long-term results (> 12 years) of surgical treatment of perihilar cholangiocarcinoma: Application of a modified Nagoya approach at a western center.pubmed.ncbi.nlm.nih.gov
99. Routine Lymph Node Dissection in the Surgical Treatment of Primary Liver Tumors: a Systematic Review and Meta-Analysis.pubmed.ncbi.nlm.nih.gov
100. Role of Cystic Lymph Nodes in Incidental Gallbladder Cancer: Implications for Routine Excision and the Sentinel Lymph Node Concept.pubmed.ncbi.nlm.nih.gov
101. Primary Peritoneal Low-Grade Serous Carcinoma in a 16-Year-Old Female: A Case Report.pubmed.ncbi.nlm.nih.gov
102. Metastatic organotropism in peritoneal metastasis: Paget's hypothesis revisited.pubmed.ncbi.nlm.nih.gov
103. Case Report: A diagnostic dilemma: metachronous pancreatic metastasis from high-grade serous ovarian carcinoma.pubmed.ncbi.nlm.nih.gov
104. Peritoneal ovarian cancer growth in the omentum proceeds independently of mature adipocytes.pubmed.ncbi.nlm.nih.gov
105. Fulminant Pulmonary Hypertension Due to Pulmonary Lymphangitic Carcinomatosis and Tumor Embolism From Occult Pulmonary Adenocarcinoma.pubmed.ncbi.nlm.nih.gov
106. Advanced cystic lung cancer complicated with pulmonary lymphangitic carcinomatosis: a case report.pubmed.ncbi.nlm.nih.gov
107. Peritoneal Carcinosis: What the Radiologist Needs to Know.pubmed.ncbi.nlm.nih.gov
108. Imaging of Gastric Carcinomatosis.pubmed.ncbi.nlm.nih.gov
109. Solitary colonic metastasis from hepatocellular carcinoma: A case report and synthesis of 15 published cases.pubmed.ncbi.nlm.nih.gov
110. Surgical management of small bowel metastasis from esophageal squamous cell carcinoma: a case report and literature review.pubmed.ncbi.nlm.nih.gov
111. Spread through air spaces as a marker of nonlinear evolutionary trajectories in lung cancer: implications for the 9th edition TNM classification.pubmed.ncbi.nlm.nih.gov
112. Beyond anatomy: deciphering metastasis to enhance diagnosis and treatment in head and neck carcinoma of unknown primary.pubmed.ncbi.nlm.nih.gov
113. Peritoneal carcinomatosis in metastatic Non-Small Cell Lung Cancer: review of the literature.pubmed.ncbi.nlm.nih.gov
114. Unusual liver tumors: spectrum of imaging findings with pathologic correlationpubmed.ncbi.nlm.nih.gov
115. Can we now save the neck of OSCC T1-T2 patients? A narrative review of whether experimental techniques are on the way to clinical application.pubmed.ncbi.nlm.nih.gov

Eğitim amaçlıdır; hasta başında tanı ve tedavi kararının yerine geçmez. İçerik yapay zekâ destekli bir süreçle güncel literatüre göre cümle cümle kaynaklarla karşılaştırıldı, ancak uzman radyolog incelemesinden geçmedi. Klinik kararlarda güncel kılavuzları, kurum protokollerini ve radyoloji raporunu esas alın.