Advertisement

Intraperitoneal Spread of Malignancies

  • Morton A. Meyers

Abstract

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.

Keywords

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.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Asch MJ, Wiedel PD, Habif DV: Gastrointestinal metastases from carcinoma of the breast: Autopsy study and 18 cases requiring operative intervention. Arch Surg 96:840–843, 1968PubMedCrossRefGoogle Scholar
  2. 2.
    Bachman AL: Roentgen appearance of gastric invasion from carcinoma of the colon. Radiology 63:814–822, 1954PubMedGoogle Scholar
  3. 3.
    Becker JA: Prostatic carcinoma involving the rectum and sigmoid colon. Am J Roentgenol 94:421–428, 1965Google Scholar
  4. 4.
    Blumer G: Rectal shelf: Neglected rectal sign of value in diagnosis of obscure malignant and inflammatory disease within abdomen. Albany Med Ann 30:361, 1909Google Scholar
  5. 5.
    Buie LA, Jackman RJ, Vickers PM: Extrarectal masses caused by tumors of the recto-uterine or rectovesical space. JAMA 117:167–169, 1941CrossRefGoogle Scholar
  6. 6.
    Choi SH, Sheehan FR, Pickren JW: Metastatic involvement of the stomach by breast cancer. Cancer 17:791–797, 1964PubMedCrossRefGoogle Scholar
  7. 7.
    Coman DR, De Long KP, McCutcheon M: Studies on the mechanism of metastasis: The distribution of tumors in various organs in relation to the distribution of arterial emboli. Cancer Res 11:648–651, 1951PubMedGoogle Scholar
  8. 8.
    De Castro CA, Dockerty MB, Mayo CW: Metastatic tumors of the small intestines. Int Abst Surg 105:159–165, 1957Google Scholar
  9. 9.
    Farmer RG, Hawk WA: Metastatic tumors of the small bowel. Gastroenterology 47:496–504, 1964PubMedGoogle Scholar
  10. 10.
    Graham WP, III: Gastrointestinal metastases from carcinoma of the breast. Ann Surg 159:477–480, 1964PubMedCrossRefGoogle Scholar
  11. 11.
    Grinnel RS: Lymphatic block with atypical and retrograde lymphatic metastasis and spread in carcinoma of the colon and rectum. Ann Surg 163:272–280, 1966CrossRefGoogle Scholar
  12. 12.
    Hartmann WH, Sherlock P: Gastroduodenal metastases from carcinoma of the breast: an adrenal steroid-induced phenomenon. Cancer 14:426–431, 1961PubMedCrossRefGoogle Scholar
  13. 13.
    Hayes HT, Burr HB: Hypernephroma of the sigmoid colon. Am J Surg 81:98–100, 1951PubMedCrossRefGoogle Scholar
  14. 14.
    Hultborn KA, Morales O, Romanus R: The so-called shelf tumour of the rectum. Acta Radiol Suppl 124:1955Google Scholar
  15. 15.
    Joffe N: Metastatic involvement of the stomach secondary to breast carcinoma. Am J Roentgenol 123:512–521, 1975CrossRefGoogle Scholar
  16. 15a.
    Kelly HA: Appendicitis and Other Diseases of the Vermiform Appendix. JB Lippincott Co, Philadelphia, 1909Google Scholar
  17. 16.
    Khilnani MT, Marshak RH, Eliasoph J, et al: Roentgen features of metastases to the colon. Am J Roentgenol 96:302–310, 1966CrossRefGoogle Scholar
  18. 17.
    Khilnani MT, Wolf BS: Late involvement of the alimentary tract by carcinoma of the kidney. Am J Dig Dis 5:529–540, 1960PubMedCrossRefGoogle Scholar
  19. 18.
    Kradjian RM, Bennington JL: Renal carcinoma recurrent 31 years after nephrectomy. Arch Surg 90:192–195, 1965PubMedCrossRefGoogle Scholar
  20. 19.
    Luomanen RKJ, Watson WL: Autopsy findings, Lung Cancer: A Study of Five Thousand Memorial Hospital Cases, Chap. 20. Edited by WL Watson. CV Mosby Co, St Louis, 1968Google Scholar
  21. 20.
    Marshak RH, Khilnani MT, Eliasoph J, et al: Metastatic carcinoma of the small bowel. Am J Roentgenol 94:385–394, 1965Google Scholar
  22. 21.
    McCort JJ: Roentgenographs: appearance of metastases to central lymph nodes of superior mesenteric artery in carcinoma of right colon. Radiology 60:641–646, 1953PubMedGoogle Scholar
  23. 22.
    Meyers MA: Roentgen significance of the phrenicocolic ligament. Radiology 95:539–545, 1970PubMedGoogle Scholar
  24. 23.
    Meyers MA: The spread and localization of acute intraperitoneal effusions. Radiology 95:547–554, 1970PubMedGoogle Scholar
  25. 24.
    Meyers MA: Peritoneography: Normal and pathologic anatomy. Am J Roentgenol 117:353–365, 1973CrossRefGoogle Scholar
  26. 25.
    Meyers MA: Distribution of intra-abdominal malignant seeding: Dependency on dynamics of flow of ascitic fluid. Am J Roentgenol 119:198–206, 1973CrossRefGoogle Scholar
  27. 26.
    Meyers MA: Malignant seeding along small bowel mesentery: Roentgen features. Am J Roentgenol 123:67–73, 1975CrossRefGoogle Scholar
  28. 27.
    Meyers MA, McSweeney J: Secondary neoplasms of the bowel. Radiology 105:1–11, 1972PubMedGoogle Scholar
  29. 28.
    Meyers MA, Oliphant M, Teixidor H, et al: Metastatic carcinoma simulating inflammatory colitis. Am J Roentgenol 123:67–83, 1975CrossRefGoogle Scholar
  30. 29.
    Meyers MA, Volberg F, Katzen B, et al: Haustral anatomy and pathology: A new look. I. Roentgen identification of normal pattern and relationships. Radiology 108:497–504, 1973PubMedGoogle Scholar
  31. 30.
    Meyers MA, Volberg F, Katzen B, et al: Haustral anatomy and pathology: A new look. II. Roentgen interpretation of pathologic alterations. Radiology 108:505–512, 1973PubMedGoogle Scholar
  32. 31.
    Meyers MA, Whalen JP: Roentgen significance of the duodenocolic relationships: An anatomic approach. Am J Roentgenol 117:263–274, 1973CrossRefGoogle Scholar
  33. 32.
    Pomerantz H, Margolin HN: Metastases to the gastrointestinal tract from malignant melanoma. Am J Roentgenol 88:712–717, 1962Google Scholar
  34. 33.
    Raiford TS: Tumors of small intestine. Arch Surg 25:321–355, 1932CrossRefGoogle Scholar
  35. 34.
    Sampson JA: Implantation peritoneal carcinomatosis of ovarian origin. Am J Pathol 7:423–443, 1931PubMedGoogle Scholar
  36. 35.
    Shoemaker CP, Hoyle CL, Levine SB, et al: Late solitary recurrence of renal carcinoma. Am J Surg 120:99–100, 1970PubMedCrossRefGoogle Scholar
  37. 36.
    Theander G, Wehlin L, Langeland P: Deformation of the rectosigmoid junction in peritoneal carcinomatosis. Acta Radiol Diagn 1:1071–1076, 1963Google Scholar
  38. 37.
    Treitel H, Meyers MA, Maza V: Changes in the duodenal loop secondary to carcinoma of the hepatic flexure of the colon. Br J Radiol 43:209–213, 1970PubMedCrossRefGoogle Scholar
  39. 38.
    Walther HE: Krebsmetastasen. Benno Schwabe, Basel, 1948Google Scholar
  40. 39.
    Wigh R, Tapley NduV: Metastatic lesions to the large intestine. Radiology 70:222–228, 1958PubMedGoogle Scholar
  41. 40.
    Willis RA: The Spread of Tumours in the Human Body. Second edition. Butterworth and Co, Ltd, 1952Google Scholar
  42. 41.
    Winter CC: The problem of rectal involvement by prostatic cancer. Surg Gynecol Obstet 105:136–140, 1957PubMedGoogle Scholar
  43. 42.
    Young HH: The cure of cancer of the prostate by radical perineal prostatectomy (prostato-seminal vesiculectomy). History, literature, and statistics of Young’s operation. J Urol 53:188–252, 1945Google Scholar
  44. 43.
    Zboralske FF, Bessolo RJ: Metastatic carcinoma to the mesentery and gut. Radiology 88:302–310, 1967PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1976

Authors and Affiliations

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

Personalised recommendations