lymphatic

(redirected from lymphogenous)
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The incidence of secondary meningitis, which is associated with TOM, is low, and hematogenous and lymphogenous spread have been implicated more often than direct extension from the mastoid cavity.
Currently, this clinical manifestation is the strongest evidence that rickettsiae may initially spread by a lymphogenous route before hematogenous dissemination.
Topical imiquimod eradicates skin metastases of malignant melanoma but fails to prevent rapid lymphogenous metastatic spread.