Super-urgent: H>E: Pizur (spread? spreading?)

[Guest guest]

Cross-posing as super-urgent:

Dear Colleagues,

The Hebrew word 'pizur' appears repeatedly in my batch of medical reports. The

context is denocarcinoma lung cancer Stage IV.

I've been translating it as 'spread' or 'spreading' but the sentences usually

look awkward.

!!! So, I've translated it at times as METASTASIS. Am I adding something that's

not in the original by doing so??? !!!!

If so, is there another translation solution beyond 'spread' and 'spreading'?

Here are some examples in context:

1. The upper lobe, too, which also was in a state of atelectasis, appears fully

extended (spread?) today, and several shadows of stains of a lusterless glass

type can be seen on it with accentuated interstitial markings, apparently

connected to the relatively rapid spread (METASTASIS) of the node.

2. The cell block is rich in adenocarcinoma cells. The majority are spread

(METASTASIZED?) with vacuole cytoplasm. An eccentric nucleus with a pronounced

nucleolus.

3. Small hyperdense lesion on Segment 6 of the liver was shown and minimal

perihepatic fluid. Since the patient suffered from severe pancreatitis in

between the examinations, it is unclear whether these findings are remnants of

it or represent a spreading of the basic disease. Correlation with US.

4. The presence of multiple omental nodes, with diameters of up to 17 mm,

matching secondary spread (omental cake).

MMTIA,