metastases to liver

Last reviewed 01/2022

Metastases account for the majority of hepatic malignancies. They may arise from almost any site in the body. The most common primaries are:

  • lung
  • breast
  • colon
  • stomach
  • pancreas
  • lymphoma - less common
  • leukaemia - less common

In the majority of cases, the tumour deposits are multiple and often, quite large. Necrosis causing central umbilication is a common feature on account of a tendency for these tumours to outgrow their blood supply.

Clinically, hepatic metastases may be suspected from nodular hepatomegaly, but usually, few other indicators are apparent.