A 55-year-old woman with endometrial carcinoma has deep myometrial invasion. The primary lymphatic drainage of the uterine fundus is to which group of lymph nodes?

• A Superficial inguinal nodes
• B Para-aortic nodes ✓
• C External iliac nodes
• D Sacral nodes

Explanation

The lymphatic drainage of the uterine fundus primarily follows the ovarian vessels to the para-aortic lymph nodes. The lower uterine segment and cervix drain to the pelvic nodes (obturator, internal/external iliac). Superficial inguinal nodes are involved only if the tumor invades the round ligament extensively.

Reference: Williams Obstetrics, 26th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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