Modern therapeutic strategies in the last decade have radically
changed the approach to the oncologic patient with metastatic
disease. Not infrequently today metastases are managed more
aggressively and addressed in a multidisciplinary way with
extremely encouraging results in terms of both survival and disease
control. There have been equally revolutionary changes in
diagnostic imaging, with renewed attention to early diagnosis of
both local and distant recurrence, in order to prompt timely
radical intervention. The distribution of metastases is affected by
characteristics of the primary improved survival of neoplastic
patients and the routine imaging follow-up have resulted in greatly
increased detection of metastatic malignancies with less than
typical appearance and behaviour.
General
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