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A 65-Year-Old Woman Went to Her Physician Complaining of Irritation

Question 10

Essay

A 65-year-old woman went to her physician complaining of irritation, discharge, and bleeding of the genital region. On physical examination, a hard-based ulcer was found on the medial aspect of the right labium
majus. A diagnosis of squamous cell carcinoma of the
skin was made. What is the lymphatic drainage of this
region, and which group of lymph nodes would you
therefore examine for evidence of metastases?

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The vulva is drained...

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