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24C) may be helpful in detecting local spread to the rectum. Tumor spread to the liver from gynecologic malignancies is not common.

It occurs predominantly by peritoneal seeding, and rarely by hematogenous metastases. CT is a reasonably sensitive and specific modality for the detection of liver metastases.

116 Most metastases are less dense than the normal liver parenchyma and are relatively well demarcated (Fig. 45A). Occasionally, however, the margins will merge imperceptibly with the liver parenchyma. Cystic metastases are seen with rapidly growing tumors, such as leiomyosarcoma. Peritoneal seeding on the liver capsule from ovarian neoplasms gives a characteristic scalloped appearance to the liver margin.

Punctate or homogeneous calcifications гѓ©гѓѓг‚­гѓј - гѓ©гѓѓг‚­гѓј - XXX Young XXX Tube be seen in metastatic mucinous cystadenocarcinoma.

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