Anal lymphatic drainage


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The dentate line, identified by the termination of the anal columns, lies 1 to 2 cm above the anal verge. Prophylactic inguinal irradiation is well tolerated and omission of groin irradiation can lead to regional or distal recurrence. Cancers of anal canal below the pectinate line are usually squamous cell carcinoma or basal cell carcinoma and melanoma , whereas those of the anal canal above pectinate line and of the rectum are adenocarcinoma. Anorectal sphincter tone can be assessed during digital rectal examination DRE when the patient is asked to squeeze the examining finger. American Joint Committee on Cancer and Springer; In patients presenting with suspicious or proven recurrent disease, full staging must be completed using CT and MRI of the chest abdomen and pelvis to assess the extent of disease.
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Chapter 36: The rectum and anal canal


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Lymphatic drainage - Information and support - Macmillan Cancer Support


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The gluteal vessels pass between the rami of the plexus. Retroaortic Lateral aortic Preaortic Celiac gastric hepatic splenic Superior mesenteric mesenteric ileocolic mesocolic Inferior mesenteric pararectal. The first lymph sacs to appear are the paired jugular lymph sacs at the junction of the internal jugular and subclavian veins.
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