Anat: Lymphatic Drainage

Question 1

Lower half of anal canal

Answer 1

Superficial inguinal nodes

Question 2

Rectum drains into?

Answer 2

Para rectal and inferior mesenteric nodes

Question 3

Cervix

Answer 3

Internal AND external iliac LN

Question 4

Prostate

Answer 4

INTERNAL Iliac nodes only NOT external

Question 5

Trigone of the bladder

Answer 5

internal and external LN

Question 6

Fundus of the uterus

Answer 6

Para aortic nodes AT THE LEVEL OF L1

Question 7

Bartholin gland CA would drain into the?

Answer 7

Medial group of superficial inguinal nodes BELOW the inguinal ligament

Question 8

Testes

Answer 8

Lumbar, para-aortic LN, nodes at the level of 1st lumbar vertebra then spread locally to involve the superficial inguinal nodes

Question 9

Esophagus

Answer 9

Upper: deep cervical aka internal jugular nodes
Middle: Superior and inferior mediastinal nodes (netter: Posteior mediastinal and intercostal nodes)
Inferior: celiac nodes (netter: left gastric nodes and superior phrenic nodes)

Question 10

Kidney

Answer 10

Lateral aortic nodes

Question 11

Ureter

Answer 11

Lateral aortic and

Iliac nodes

Question 12

Bladder

Answer 12

Internal and external LN

Question 13

Rectum

Answer 13

The lymph vessels of the rectum drain first into the pararectal nodes and then into inferior mesenteric nodes. Lymph vessels from the lower part of the rectum follow the middle rectal artery to the internal iliac nodes.

Question 14

Pancreas

Answer 14

Superior mesenteric LN and Celiac nodes

Question 15

Appendix

Answer 15

Superior mesenteric LN

Question 16

Stomach

Answer 16

The lymph vessels follow the arteries into the left and right gastric nodes, the left and right gastroepiploic nodes, and the short gastric nodes. All lymph from the stomach eventually passes to the celiac nodes located around the root of the celiac artery on the posterior abdominal wall.

Question 17

Medial breast

Lateral breast

Answer 17

LN along internal thoracic artery

Anterior or pectoral group of nodes

Question 18

Hand
1 pointer and thumb and lateral part of hand
2 middle ring and little finger

Answer 18

1 Infraclavicular group of axillary nodes

2 lateral group of axillary nodes

Question 19

Lower limb
1 in general
2 big toe
3 medial side of knee joint
4 buttocks
5 calf skin

Answer 19

1 in general Deep inguinal nodes in the groin
2 big toe vertical group of superficial inguinal nodes
3 medial side of knee joint vertical group of SIN
4 buttocks horizontal group of SIN
5 calf skin popliteal nodes

Question 20

CA in sigmoid colon would drain into?

Answer 20

Inferior mesenteric nodes