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General Medicine General 9cd79d40

A 65-year-old man consults a physician because he has had severe alternating constipation and diarrhea for the past two months. Hemoccult test on a stool sample is positive for occult blood. Colonoscopy demonstrates a large annular, encircling mass 25 cm above the anal verge, in the descending colon. To which of the following nodes would this tumor be most likely to first metastasize?

A
Gastroepiploic
B
Inferior mesenteric
C
Internal iliac
D
Sub Pyloric

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