A 37-year-old woman is suffering from carcinoma of the uterus(fundus area) . Cancer cells are likely to metastasize directly to which of the following lymph nodes?,
The superficial inguinal nodes receive lymph from the buttocks, labium majora, upper uterus and the lower pas of the vagina and anal canal. These nodes have efferent vessels that drain primarily into the external iliac and common iliac nodes and ultimately to the lumbar (aoic) nodes. The internal iliac nodes receive lymph from the upper pa of the rectum, vagina, uterus, and other pelvic organs, and they drain into the common iliac nodes and then into the lumbar (aoic) nodes. Pa of uterus Draining lymph nodes Fundus Pre and para aoic lymph nodes Isthmus Round ligament lymphatics- superficial ingiunal LN Mid uterus External iliac LN lower uterus(cervix) everywhere except inguinal LN
External iliac nodes
Internal iliac nodes
Superficial inguinal nodes
Aoic (lumbar) nodes
Development of GU system and Neuro-vascular supply of pelvis & perineum