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Surgery General bd55fb89

M.C. site for secondary metastasis in a case of Hypernephroma -

A
Adrenal
B
Lungs
C
Brain
D
Bones
High-Yield Explanation
Bailey and Love writes - "The Renal cell Ca is prone to grow into the renal vein. Pieces of growth are swept into the circulation and end up in the lung where they grow to form cannon-ball secondary deposits. Metastasis to bone also occurs. Highly vascular metastasis may pulsate." Also Remember MC site of metastasis from lung Ca → Adrenals next is Liver, Brain MC site for distant metastasis from Bladder Ca → Vertebrae MC site for distant metastasis from Colorectal Ca → Liver MC site for distant metastasis from Melanoma (cutaneous) → Skin/subcutanous tissue, Lung MC site for distant metastasis from Melanoma (Ocular) → Liver MC site for distant metastasis from Prostate → Bonesstas MC site for distant metastasis from Soft tissue sarcoma → Lung MC site for distant metastasis from Testis Ca → Lung MC site for distant metastasis from Thyroid Ca → Bone, Lung  Metastasis to lung is most commonly from → Breast Ca

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