Abstract
Carcinomas in general metastasize more frequently via the lymphatic system, sarcomas via the hematogenic system, including many leukemias. The coelom characterizes the animal phyla known as coelomates and is characterized by a body cavity which may be portioned, covered by an endothelial layer. This layer contains a visceral and parietal portion and is according to embryology no true epithelium because it does not derive from ectoderm or entoderm but from mesoderm. These surfaces, covered with a film of fluid, are an ideal place for metastatic seeding. The majority of neoplasms occurring in the coelemic cavities are secondary. The development of neoplasms depends to a great degree on the topography of the host (cf. Chapter 6/Volume I) and this becomes clear if one considers types of tumors in the coelomic cavities. Primary neoplasms of the serosa are characterized by a wide spectrum of growth patterns and biologic aggressiveness. The adenoid tumor is generally benign; the cystic peritoneal mesothelioma shows an intermediate position, exhibits recurrent disease without fatal course whereas the diffuse malignant mesothelioma spreads rapidly (16) and may occur with osseous and cartilaginous differentiation (155).
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Kaiser, H.E. (1989). Spreading on the Coelomic (Peritoneal, Pleural and Pericardial) Surface. In: Brunson, K.W. (eds) Local Invasion and Spread of Cancer. Cancer Growth and Progression, vol 7. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-1093-5_3
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