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A statistically significant difference in metastasis frequency was confirmed among these 3 groups (χ test, = 0.001). In lung cancer patients with pancreatic metastasis, knowledge of the metastatic patterns might be useful for clinical practice in the foreseeable future because it enables more efficient detection of metastatic disease through imaging, and more effective treatment at predicted metastatic sites. In lung cancer patients with pancreatic metastasis, knowledge of the metastatic patterns might be useful for clinical practice in