Metastatic Liver Disease: Pathological Aspects

Living reference work entry

Abstract

Liver metastases represent a highly important issue in hepatobiliary oncology. In Europe and North America, metastases of various cancers to the liver predominate over primary hepatic neoplasms in a ratio of over 40:1. the majority of liver metastases in adult patients are carcinomas and malignant melanoma, followed by non-Hodgkin’s lymphomas, other hematological neoplasms, germ cell tumors, and sarcomas. In the pediatric age-group, neuroblastoma and other small cellular blue tumors, PNETs, and hematological neoplasms metastasize to the liver. Hepatic metastases present in the form of several characteristic macroscopic growth patterns, including macronodular patterns, micrometastases, diffuse intrasinusidal metastasis, inductal growth metastasis, intraportal metastasis and other intravascular manifestations, and the rarer neoplastic lymphangiosis. Liver metastases occur as solitary or multiple lesions. In part of cases, a large solitary metastasis can be the source of secondary lesions through intrahepatic spread. Metastases in the subcapsular area of the liver cause umbilicated nodules and tumors that may involve adjacent structures, such as the diaphragm. Distinct metastatic growth patterns occur in cirrhotic livers.

Keywords

Portal Vein Liver Metastasis Hepatic Metastasis Needle Core Biopsy Colorectal Liver 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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© Springer International Publishing Switzerland 2016

Authors and Affiliations

  1. 1.University of BernBernSwitzerland

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