Answer to A Stitch in Time Saves Nine

Question: There is concern that the cancer metastasized to the labia majora via lymphatics following which of the following structures?

Correct answer is B, the round ligament of the uterus. Metastasis of uterine cancer usually does not occur to other tissues initially. But if left unchecked, as with any cancer, uterine cancer can spread to several tissues. Spread to the labia majora can take the path used by the round ligament of the uterus.

1.= Internal iliac a.

2.= Round ligament of the uterus

3.= Peritoneum over the bladder

4.= Oviduct

5.= Sigmoid colon

Answer to this question is based on material presented in lectures 3 of the Pelvis Lecture Series.