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. 2020 Jul 8;2(1):20200019. doi: 10.1259/bjro.20200019

Table 1.

Criteria by which to distinguish second primary tumours vs metastasis (adapted from Detterbeck t al10)

Relative criteria that favour synchronous tumours
Different radiography appearance (i.e. shape, density)
Different metabolic activity
Different growth rates (if previous imaging is available)
Absence of nodal or systemic metastasis
Relative criteria that favour metastasis
Same radiographic appearance
Similar growth rates (if previous imaging is available)
Significant nodal or systemic metastases