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Metastatic Cancer

Also called: Metastatic Disease

- Summary
- About metastatic cancer
- Types and differences
- Risk factors and causes
- Diagnosis methods
- Treatment options
- Prevention methods
- Ongoing research
- Questions for your doctor

Reviewed By:
Martin E. Liebling, M.D., FACP
Mark Oren, M.D., FACP

Risk factors and causes of metastatic cancer

The risk factors associated with metastatic cancer are the same as those of any cancer. Genetic risk factors account for between 5 percent and 10 percent of all cancers, according to the American Cancer Society (ACS). The bulk of cancers are caused instead by factors related to lifestyle or the environment. These include:

  • Tobacco use
  • Unhealthy diet
  • Lack of exercise
  • Alcohol abuse
  • Radiation
  • Infectious agents such as certain viruses
  • Toxic chemicals or other environmental factors

Some types of primary cancers are especially prone to metastasizing to specific areas of the body. These include the following:

Primary Site Metastases
Breast Lymph nodes (underarm), lung, bone, liver, brain

Colon and rectum

Lymph nodes (next to bowels), liver, lung, bone
Kidney Lymph nodes (next to kidney), lung, bone, liver, brain, skin
Lung Lymph nodes (next to lungs), other lung, adrenals, liver, bone, brain
Ovary Lymph nodes (in pelvis), liver, lung, abdominal cavity
Pancreas Lymph nodes (in abdomen), liver, lung, bone, brain
Prostate Lymph nodes (in pelvis), bone, lung, liver
Soft tissues (sarcoma) Lungs, bone, lymph nodes, brain
Stomach Lymph nodes (in abdomen), liver, lungs, brain, abdominal cavity
Thyroid Lymph nodes (in neck), lungs, liver, bone

 

The risk of metastasis in an organ can sometimes depend on the specific type of cancer that is present. For example, squamous cell and basal cell skin cancers rarely spread. On the other hand, malignant melanoma skin cancers are more likely to spread to the lymph nodes, lungs, liver, brain and other organs.

The Skin's Layers

In addition, most cancer cells that break free of a tumor are trapped in the next “downstream” capillary bed or set of lymph nodes. This is why metastatic cancers usually appear near the original cancer site. In addition, cancers frequently spread to the lungs because the heart pumps blood from all parts of the body through the lung’s blood vessels. The liver is also a common site of metastasis because cancers in the stomach and intestines are carried through blood to the liver.

Despite these general patterns, some metastases are able to find and invade specific sites in various locations throughout the body.

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Review Date: 03-19-2007
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