Nodal Assessment
Regional lymph nodes:
Mesorectal
99% within 5cm
proximal to tumour
78% at level of tumour*
Sigmoid mesenteric
Inferior mesenteric
Lateral sacral, pre-sacral
Internal iliac
Superior, middle or
inferior rectal
Right internal iliac node
& mesorectal node
*Koh DM et al. Eur Radiol 2005; 1650-7
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Systematic Approach