**Core Concept**
The propensity of a tumor to metastasize through lymph nodes is influenced by its histological type, grade, and the presence of lymphatic vessels within the tumor. Tumors that are highly vascularized and have a high mitotic rate are more likely to invade and metastasize through the lymphatic system.
**Why the Correct Answer is Right**
The correct answer is **C. Carcinoma**. Carcinomas, particularly those of squamous and adenocarcinoma types, have a higher propensity to metastasize through the lymphatic system due to their ability to invade and disrupt the lymphatic vessels. This is mediated by the expression of matrix metalloproteinases (MMPs) and vascular endothelial growth factor (VEGF), which facilitate lymphatic invasion and metastasis.
**Why Each Wrong Option is Incorrect**
**Option A:** **Melanoma** primarily metastasizes through the hematogenous route, with a higher propensity for distant metastasis to the lungs, liver, and brain.
**Option B:** **Leiomyosma** is a type of smooth muscle tumor that typically metastasizes through the hematogenous route, with a higher propensity for distant metastasis to the lungs.
**Option D:** **Hemangioma** is a benign vascular tumor that does not metastasize, as it is composed of normal blood vessels.
**Clinical Pearl / High-Yield Fact**
The pattern of lymphatic spread can be remembered using the mnemonic "Virchow's Triad": **Venous** (hematogenous) spread to the lungs, liver, and brain, **Lymphatic** spread to regional lymph nodes, and **Direct** invasion to surrounding tissues.
**Correct Answer:** C. Carcinoma
Free Medical MCQs Β· NEET PG Β· USMLE Β· AIIMS
Access thousands of free MCQs, ebooks and daily exams.
By signing in you agree to our Privacy Policy.