Cardiac Carcinoma metastasis and spread

1. Direct the spread of invasive esophageal, spread to other parts of the stomach, such as the diaphragmatic hiatus, liver left lobe, hepatogastric ligament, pancreatic tail, spleen door, spleen, and other retroperitoneal structures.

2. Lymphatic metastasis. If transferred to the cardiac wall, and in particular the submucosal and serosal lower rich lymphatic network and esophageal lymphatic network traffic, pooled from outside the lymphatic wall, mediastinal drainage upward and downward drainage of abdominal plexus, and finally into the thoracic duct. Three cardiac lymphatic drainage of the system includes:

  • dry line, along the esophagus to the mediastinum;
  • right stem, from the stomach along the lesser curvature and left gastric cardia Esophageal vascular branch to the celiac artery side;
  • left dry, to the posterior wall along the Great bending the upper edge of the pancreas and retroperitoneal. Greater curvature and can be divided into teams, after the stomach and diaphragm support teams. Lymph nodes along both the system. Is the first stop next to the cardia (left, right), lower esophageal peri gastric lesser curvature lymph nodes, the second station adjacent to the left gastric vessels, spleen lymph vascular peri omentum. Far have celiac artery next to Para-aortic, hilar, and mediastinal lymph node locked.

    3. Revascularization transfer.

  • after hepatic portal vein through the inferior vena cava into the systemic circulation;
  • organ by direct inter-vein approach into the systemic circulation. The transfer of the former is the most common pathway.

    4. Cultivation. Cultivation of cells can be detached to the peritoneum, omentum, pelvis, etc., may be associated with hemorrhagic ascites.