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A 61-year-old female asked:

There is a mantle fat stranding in the pelvis and may represent inflammatory changes. omental metastases are not excluded" what does this mean?

1 doctor answer2 doctors weighed in
Dr. Myron Arlen
Surgical Oncology 66 years experience
Possible cancer: The omentum is a large fat pad hanging from the transverse colon. Because of the high levels of TGF-B present it is a common site for omental metastasis. The fat pad can extend as a large mass into the upper pelvis replaced most commonly by ovarian cancer which then induces vascular permeability factor and induction of ascites. PET/CAT may be helpful in dx primary and metastasis.
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Last updated Jun 12, 2017

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