Endocrine

Lymphatic right adrenal

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Q) Lymphatic drainage of Right adrenal gland is to 
a. Para aortic group
b. Inter Aortocaval
c. Pre aortic.
d. Para Caval

d)  Para-caval for right and  Para aortic for left

Small lymphatic channels from both cortex and medulla drain into  the hilum, from where larger calibre lymphatic emerge to drain directly into the lateral group of  para-aortic lymph nodes

Right side adrenal is paracaval

Left side is para aortic

  • arterial supply is via three adrenal arteries 
    • superior adrenal artery (from inferior phrenic artery)
    • middle adrenal artery (from abdominal aorta)
    • inferior adrenal artery (from renal artery)
  • venous drainage 
    • adrenal veins emerge from the hilum and drain to different veins depending on the side:
      • left adrenal vein drains to the left renal vein
      • right adrenal gland drains to the IVC

( Grays anatomy)

 

Primary Thyroid Lymphoma

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Q) Which of the following statement is true regarding primary thyroid lymphoma?

a) Goiter grows at a slow pace

b) Hashimoto thyroiditis is a pre existing condition for thyroid lymphoma

c) "B" symptoms are common

d) MALT lymphoma is the commonest

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