Question

Patients have precancerous lesions with abdominal swelling and inguinal nodes are seen. On examination, lymphadenopathy was found. The most probable carcinoma related to this condition will be?

• A. ca penis
• B. CaTestis
• C. ca prostate
• D. ca bladder

Answer 1

The Correct Option is A

Patiens with precancerous lesions and abdominal swelling accompanied by inguinal lymphadenopathy suggest a connection with a malignancy in areas where lymphatic drainage is connected to the inguinal nodes. The inguinal lymph nodes are primarily involved in lymphatic drainage from the lower abdomen, genitals, and certain areas of the lower limbs. Considering the provided options and understanding the lymphatic drainage patterns, we will analyze which carcinoma would most likely present with this clinical finding. Given the symptoms, let us evaluate the options:

• Ca Penis: The penis drains lymphatically to the inguinal nodes. Therefore, a carcinoma here could easily manifest as inguinal lymphadenopathy, making this option highly probable.
• Ca Testis: Testicular cancer classically metastasizes to para-aortic (retroperitoneal) lymph nodes rather than the inguinal nodes, thus it's not the likely source.
• Ca Prostate: Prostate cancer primarily drains to the pelvic lymph nodes before involving the inguinal nodes, making this option less likely considering the initial symptom in this case.
• Ca Bladder: Similar to the prostate, bladder cancer typically involves pelvic nodes and is less associated with inguinal lymphadenopathy unless very advanced.

Because direct drainage from the penile region leads to the inguinal lymph nodes, the presence of inguinal lymphadenopathy in conjunction with abdominal swelling strongly suggests ca penis as the probable carcinoma related to this condition.