Distant spread

Question 1

Distant spread breast

Answer 1

Lung - most common
Liver
Brain

Question 2

Distant spread colorectal

Answer 2

Liver - most common

Lung

Question 3

Distant spread anal canal

Answer 3

Uncommon
Lung
Liver

Question 4

Distant spread prostate

Answer 4

Bone - most common
Brain
Liver
Lung

Question 5

Distant spread testicular cancer

Answer 5

Seminoma

• More likely to remain localized or only to lymph nodes
• Lung, bone, liver and brain if spread has occurred

Non-seminoma

• More likely to spread
• Lungs and liver are most common

Question 6

Distant spread endometrial cancer

Answer 6

Lungs

Question 7

Distant spread cervix

Answer 7

Lungs - most common

Liver and bones

Question 8

Distant spread head and neck

Answer 8

Rare for most cancers, lung is most common followed by bone and liver.
Two most common for distant spread:
- nasopharynx (bone)
- hypopharynx (lung)

Question 9

Distant spread esophagus

Answer 9

Lung - most common

Liver

Question 10

Distant spread lung

Answer 10

Liver
Brain - small cell lung cancer
Bone
Kidneys

Question 11

Distant spread ovaries

Answer 11

Spread is rare.
Liver
Lung

Question 12

Distant spread vulva

Answer 12

Rare

Question 13

Distant spread osteosarcomas

Answer 13

90% will metastasize to lung.

May also spread to liver and brain.

Question 14

Distant spread of soft tissue sarcomas

Answer 14

Lungs

Retroperitoneal lesions may spread to liver or other abdominal structures.