Their principal afferents are derived from the inguinal lymph nodes, the deep lymphatics of the abdominal wall below the umbilicus and of the adductor region of the thigh, and the lymphatics from the glans penis vel clitoridis, the membranous urethra, the prostate, the fundus of the urinary bladder, the cervix uteri, and upper part of the vagina.
12.
An adnexal mass is a significant finding that often indicates ovarian cancer, especially if it is fixed, nodular, irregular, solid, and / or bilateral . 13 21 % of adnexal masses are caused by malignancy; however, there are other benign causes of adnexal masses, including inguinal lymph nodes may reveal lymphadenopathy, which can be indicative of metastasis.