skip to Main Content

 

Your Silent Teacher was diagnosed with liver metastatic lesions, one with necrosis

Definition

Liver metastases are tumors that have spread to the liver from other regions of the body. Invariably, liver metastases arrive from the colon through the portal circulation.  Approximately 70% of patients who have colon cancer will develop liver metastases.  Typically the intestinal lymph will drain into the para-aortic lymphatics resulting in para-aortic lymphadenopathy.  The size and arrangement of lymphatics along the aorta can become very conspicuous (red arrows).

Radiology

Patients presenting with operable liver metastases often receive chemotherapy followed by surgery to remove all visible disease, and then additional chemotherapy to eliminate non-visible microscopic disease. Patients with advanced colorectal cancer whose liver metastases are not amendable to surgery may still benefit from Radiofrequency Ablation (RFA) and Microwave Ablation (MWA) and other therapeutic options.  Once cancer that has spread to the liver is generally not curable. However, the treatments may help shrink tumors, improve life expectancy, and relieve symptoms.

Symptoms associated with metastatic liver disease include: anorexia, fever, jaundice, nausea, pain in the upper right quadrant, sweats and weight loss.

Anatomical Considerations and Exercises.

The liver is highly susceptible to metastases from the colon and large cysts can develop.

Segmentation shows widespread occurrence of the tumors and cysts that hinder liver function aimed at producing bile, and filtering blood delivered from the portal system

Return to your surface projection tracing on the Silent Teacher and attempt to trace out the liver.  The liver lies in the right hypochondrium above the costal margin.  Its upper border extends up to the 4th intercostal space.   The left lobe passes deep to the xiphoid process of the sternum across the epigastrium.   The gall bladder projects just below the liver at the point where the midclavicular line crosses the costal margin, i.e., about the 9th costal cartilage.  Click here to see this relationship.

 

 

 

 

 

 

Back To Top