Chapter

Metastatic disease of the thorax

Peter Hoskin and Wendy Makin

in Oncology for Palliative Medicine

Second edition

Published in print August 2003 | ISBN: 9780192628114
Published online November 2011 | e-ISBN: 9780191730115 | DOI: http://dx.doi.org/10.1093/acprof:oso/9780192628114.003.0023
Metastatic disease of the thorax

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This chapter discusses metastatic diseases of the thorax and their diagnosis and treatment. It begins by discussing pulmonary metastases. Pulmonary metastases often signify incurable disease and reduced life expectancy. Metastases of the pulmonary are sources of secondary dissemination of cancer by haematogenous spread to important organs such as the brain and lungs. They are also found in patients with advanced breast, colorectal, bladder, cervical, and lung cancers. Other types of metastatic disease of the thorax are the lymphangitis carcinomatosa, mediastinal disease, and heart disease. Lymphangitis carcinomatosa is the infiltration of pulmonary lymphatics by tumour cells. It is common with patients with primary carcinomas of the breast and lung. Mediastinal disease is the existence of primary malignant tumours within the mediastinum. Diseases associated with this thorax metastasis are bronchus, and oesophagus cancers. The metastasis of the heart meanwhile is frequent in cancers of the lung and the breast. It also occurs in melanoma, sarcomas, leukaemia, and lymphoma.

Keywords: thorax; pulmonary metastases; pulmonary; lungs; lymphangitis carcinomatosa; mediastinal disease; mediastinum; thorax metastasis

Chapter.  4388 words.  Illustrated.

Subjects: Palliative Medicine

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