Metastasis: Liver Lesion
Cancers are sorted by a combination of rarity, overall frequency of metastases, and predilection for this site. Group metastases by characteristic.
Cancer | Frequency | Comments |
Colorectal Adenocarcinoma | Common | most common site |
Breast Adenocarcinoma | Common | slightly more common in HER2-positive cancers |
Non-Small Cell Lung Carcinoma | Common | |
Hepatocellular Carcinoma | (Primary Tumor) | HCC lesions are arterially enhancing (versus normal liver or regenerating nodules, which enhance with the portal venous phase). The display wash-out, i.e. decreased enhancement compared to liver on PV phase. |
Small Cell Lung Cancer | Common | |
Wilms Tumor | Uncommon | |
Rhabdomyosarcoma | Unspecified | Uncommon site of metastasis, frequency unspecified |
Pancreatic Adenocarcinoma | Common | |
Prostate Adenocarcinoma | Rare | |
Melanoma | Common | |
Renal Cell Carcinoma | Uncommon | |
Endometrial Cancer | Common | |
Testicular Cancer | Common | |
Hepatocellular Carcinoma | Common | |
Esophageal Cancer | Common | most common site for distant metastases of adenocarcinoma (second most common for SCC) |
Gastric Adenocarcinoma | Uncommon | |
Pancreatic Neuroendocrine | Common | overall, a very common site for metastasis (seen in about half of all pancreatic neuroendocrine tumors). However it is almost never seen from insulinomas and uncommon in VIPoma and gastrinoma. |
Medullary Thyroid Carcinoma | Common | |
Adrenal Cortical Carcinoma | Common | |
Gastrointestinal Stromal Tumor | Common | |
Cervical Cancer | Uncommon | |
Epithelial Ovarian Cancer | Uncommon | i.e. parenchymal metastases. hepatic capsular metastases (from peritoneal involvement) are much more common |
Cholangiocarcinoma | Common | the tumor spreads along bile ducts and vascular channels |
Gallbladder Cancer | Common | most common site of hematogenous metastasis |
Neuroblastoma | Common | liver metastases are rare in traditional neuroblastoma, but hepatomegaly is a characteristic of "4S" disease - patient < 1 year, skin lesions ("blueberry baby"), and hepatomegaly |
Basal Cell Carcinoma | Common | |
Gastrointestinal Carcinoid | Common | most common distant site. Metastases will be hyperenhancing in the arterial phase, although they may become isointense to liver on later phases. |
Transitional Cell Carcinoma of the Bladder | Common | |
Squamous Cell Carcinoma of the Head and Neck | Rare | |
Osteosarcoma | Rare | |
Hodgkin's Lymphoma | Uncommon | Never occurs without splenic involvement first. Imaging is unreliable (hepatomegaly does not imply involvement). |
Non-Hodgkin's Lymphoma | Rare | |
Pheochromocytoma | Common | |
Thymoma | Rare | |
Papillary Thyroid Carcinoma | Very Rare | |
Medulloblastoma | Uncommon | more common in children |
Astrocytoma | Common |