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Liver mets (metastases)

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

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Metastases account for the majority of hepatic malignancies. They may arise from almost any site in the body. The most common primaries are:

  • lung
  • breast
  • colon
  • stomach
  • pancreas
  • lymphoma - less common
  • leukaemia - less common

In the majority of cases, the tumour deposits are multiple and often, quite large. Necrosis causing central umbilication is a common feature on account of a tendency for these tumours to outgrow their blood supply.

Clinically, hepatic metastases may be suspected from nodular hepatomegaly, but usually, few other indicators are apparent.

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