附註:Includes bibliographical references and index.
Cover -- Table of Contents -- Part I -- The METASTASIS and its PRIMARY Introduction -- Chapter 1 -- Metastases to the Thoracic Organs -- Metastases to the Lung -- Metastases to the Tracheo-Bronchial Tree -- Metastases to the Pleura -- Metastases to the Heart and Pericard -- Metastases to the Thymus -- Metastases to the Diaphragm -- Metastases to the Mediastinal Nodes -- Metastases to the Female Breast -- Metastases to the Male Breast -- References -- Chapter 2 -- Metastases to the Abdominal organs -- Metastases to the Liver -- Metastases to the Spleen -- Metastases to the Pancreas -- Metastases to the Gallbladder -- Metastases to the Bile Duct -- Metastases to the Adrenal -- References -- Chapter 3 -- Metastases to the Digestive System -- Metastases to the Esophagus -- Metastases to the Stomach -- Metastases to the Duodenum -- Metastases to the Small Intestine -- Metastases to the Appendix -- Metastases to the Colon -- Metastases to the Rectum -- Metastases to the Anus -- Metastases to the Peritoneum -- Metastases to the Mesenterium -- References -- Chapter 4 -- Metastases to the Urogenital System -- Metastases to the Urinary System -- Metastases to the Male Genital System -- Metastases to the Female Genital System -- References -- Chapter 5 -- Metastases to the Nervous System Cerebral Metastases -- Metastases to the Ventricles -- Parasellar and Cavernous Sinus Metastases -- Metastases to the Choroid Plexus -- Metastases to the Cerebellopontine Angle -- Metastases to Meckel's Cave -- Metastases to Corpus Callosum -- Metastases to the Venous Sinus -- Involvement of Cranial Nerves -- Metastases to the Pineal Gland -- Metastases to the Cerebellum -- Metastases to the Brain Stem -- Intra-Rachidial extramedullary Metastases -- Intradural Metastases -- Leptomeningeal Carcinomatosis -- Perineural Spread -- Metastases to the Peripheral Nerves, Plexus and dorsal Root Ganglia -- Metastases to the Pituitary Gland -- References -- Chapter 6 -- Metastases to the Head and Neck
摘要:Although distant metastases are the most dreaded situation in the evolution of cancer of every organ, the medical literature has surprisingly given little attention to the anatomical relationship between the primary tumor and metastasic sites. Only risk factors, treatment possibilities, and survival results are extensively examined. Stimulated by the occurrence in his practice of some puzzling and unexpected metastases, the author reviewed more than 12,000 references. He looked for anatomical relationships highlighting the relation between the location of the primary tumors and the particular patterns of metastasis observed. It would seem that the `pathways and flows' are apparently a more decisive factor in the implantation of the metastases than the `seed and soil' properties of the cancer cells and the metastatic site. Aided by his colleague Dr. T. Geukens, M.D., the author includes original anatomical drawings, illustrating the sometimes unexpected pathways the cancer cells follow in order to reach the organs where they will become lodged and give rise to metastatic tumors. The subject has apparently not been exhausted in the literature and several ideas are given for further research.
