Lymph Nodes

Question 1

Ureters

Answer 1

As they course inferiorly, lymph drains sequentially into the lumbar (caval/aortic), common iliac, external iliac, and then internal iliac lymph nodes.

Question 2

Bladder

Answer 2

Superior surface-external iliac lymph nodes
Fundus- internal iliac
Neck-sacral or common iliac lymph nodes

Question 2

Female urethra

Answer 2

Sacral and internal iliac lymph nodes. A few vessels drain into the inguinal lymph nodes.

Question 3

Male urethra

Answer 3

Mainly into the internal iliac lymph nodes, but some lymph passes to the external iliac lymph nodes. Lymphatic vessels from the spongy urethra pass to the deep inguinal lymph nodes.

Question 4

Ductus deferens

Answer 4

External iliac lymph nodes

Question 5

Seminal vesicle

Answer 5

Superior part-external iliac
Inferior part-internal iliac

Question 6

Ejaculatory duct

Answer 6

External iliac

Question 7

Prostate

Answer 7

The lymphatic vessels drain chiefly into the internal iliac nodes, but some pass to the sacral lymph nodes

Question 8

Bulbo-uretheal glands

Answer 8

The internal and external iliac group of lymph nodes

Question 9

Vagina

Answer 9

• Superior part: to the internal and external iliac lymph nodes
• Middle part: to the internal iliac lymph nodes
• Inferior part: to the sacral and common iliac nodes
• External orifice: to the superficial inguinal lymph nodes

Question 10

Uterus

Answer 10

• The fundus and superior uterine body to the lumbar (caval/aortic) lymph nodes, but some vessels pass along the round ligament of the uterus to the superficial inguinal lymph nodes.
• The uterine body pass within the broad ligament to the external iliac lymph nodes.
• Vessels from the uterine cervix pass along the uterine vessels, within the transverse cervical ligaments, to the internal iliac lymph nodes and
  along the uterosacral ligaments to the sacral lymph nodes.

Question 11

Ovaries and tubes

Answer 11

To the right and left (caval/ aortic) lumbar lymph nodes

Question 12

Scrotum

Answer 12

Superficial inguinal

Question 13

Penis

Answer 13

The skin of the penis drains initially to the superficial inguinal lymph nodes
The lymph from the glans and distal spongy urethra drains to the deep inguinal and external iliac nodes. The cavernous bodies and proximal spongy urethra drain to the internal iliac nodes

Question 14

Vulva

Answer 14

Mainly to the superficial inguinal lymph nodes.

The glans clitoris and anterior labia minora may also drain to the deep inguinal nodes or internal iliac nodes.

Question 15

Testes

Answer 15

To the right and left lumbar (caval/aortic) and pre-aortic lymph nodes