Q) Most common lymph node involved in carcinoma prostate is
Lymphatic spread may occur (1) via lymphatic vessels passing to the obturator fossa or along the sides of the rectum to the lymph nodes beside the internal iliac vein and in the hollow
of the sacrum
Also lymphatics that pass over the seminal vesicles and follow the vas deferens for a short distance to
drain into the external iliac lymph nodes.
From retroperitoneal lymph nodes, the mediastinal nodes and occasionally the supraclavicular nodes may become implicated.
Bailey page 1468