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Abdominal Radiology

, Volume 44, Issue 11, pp 3527–3535 | Cite as

Nodal drainage pathways in primary rectal cancer: anatomy of regional and distant nodal spread

  • Harmeet KaurEmail author
  • Randy D. Ernst
  • Gaiane M. Rauch
  • Mukesh Harisinghani
Special Section: Rectal Cancer
  • 253 Downloads

Abstract

Nodal involvement is a significant prognostic factor in rectal cancer and difficult to assess preoperatively. An understanding of the patterns of nodal spread from different regions of the rectum can assist in this process and is essential for the purposes of surgical planning. In this article we define patterns of spread to mesenteric and pelvic sidewall nodal subgroups and discuss the importance of accurate anatomic localization of nodes for the purposes of staging and surgical planning.

Keywords

Rectal cancer Rectal adenocarcinoma Lymph node MRI CT 

Notes

Acknowledgements

We would like to acknowledge our mentors Evelyne Loyer MD and the late Chulsip Charnsangavej MD whose approach to the imaging of cancer informs the content of this paper.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Diagnostic ImagingUniversity of Texas MD Anderson Cancer CenterHoustonUSA
  2. 2.Division of Abdominal Imaging, Department of RadiologyMassachusetts General Hospital, Harvard Medical SchoolBostonUSA

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