The Lymph node to be involved in Cancer Gall bladder to be called as M1 Stage?
Inter aortocaval node
Superior mesenteric node
Coeliac node
Pancreatico duodenal node
Ans. (a) interaortocaval NodeRef: Blumgart 6th Edition Page 788, 799* The first Manuever during Extended Cholecystectomy is to do Kocherisation and assess Aortocaval and Retro pancreatic nodes. The coeliac node must also be assessed; and Suspicious nodes sent for Frozen Section and if positive the procedure is terminated.* N1 = Metastases to nodes along cystic duct, common bile duct, hepatic artery, and/or portal vein* N2 = Metastases to periaortic, pericaval, superior mesenteric artery, and/or celiac artery nodes* M1 = Interaortocaval nodes
Gall Bladder & Bile Ducts