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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