Home » NCLEX » NCLEX-PN » What is the next most likely site of metastasis?
During surgery, it is found that a client with adenocarcinoma of the rectum has positive peritoneal lymph nodes. What is the next most likely site of metastasis?
A. brain
B. bone
C. liver
D. mediastinum
Correct Answer: C
Explanation/Reference:
Explanation:
Colon tumors tend to spread through the lymphatics and portal vein to the liver. Although metastasis to the other sites listed is possible, the liver is most likely the first to be affected.Physiological Adaptation
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