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Book 4 - Self Instructional Manual for Cancer Registrars - SEER ...

Book 4 - Self Instructional Manual for Cancer Registrars - SEER ...

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Regional Lymph NodesThe regional lymph nodes draining the vagina are:Upper two-thirds of vagina:Pelvic lymph nodes:Common iliacInternal iliac (hypogastric, including obturator)External iliacSacral promontoryLower one-third of vagina and vulva:Superficial Inguinal or Femoral (unilateral or bilateral)Deep inguinal: Rosenmuller's or Cloquet's node (vulva only)MalignantTumorsThe most common histologic type of malignant neoplasm found in the vulva and vagina issquamous cell carcinoma. The usual spread of disease from the vagina is to the cervix, vulva, rectum,and bladder. For tumors arising in the vulva, the usual spread of disease is to the vagina, urethralorifice, and perineum.290

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