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Lymphatic system 257

 

 

 

 

 

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258.2

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A Lymph nodes at surface of

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neck and head

 

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14

 

15

 

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19a 17

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19

20 20

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B Deep lymph nodes of neck

24

 

 

25

 

258

Lymphatic system

 

 

 

 

 

 

 

Lateral cervical lymph nodes. Nodi lymphatici

17

Apical lymph nodes. Nodi lymphatici apicales.

1

 

1

 

 

 

cervicales laterales. Groups of lymph nodes

 

Nodes medial to the axillary vein that extend

 

 

 

 

lateral to the neck which are classified as fol-

 

from the upper margin of the prectoralis minor

2

 

 

 

lows.

 

to the apex of the axilla. Afferent areas: upper

 

 

2

Superficial lymph nodes. Nodi lymphatici su-

 

lateral part of the breast and all remaining axil-

 

 

 

lary lymph nodes. Efferents: (left) subclavian

3

 

 

 

perficiales. Nodes on the external jugular vein.

 

 

 

 

 

trunk to the thoracic duct or subclavian vein;

 

 

 

 

Afferent regions: lower pinna and area below

 

(right) into the vein directly or after joining the

 

 

 

 

the parotid. Efferents: deep cervical lymph

 

4

 

 

 

 

jugular trunk. C

 

 

 

 

 

nodes. See p. 257 A

 

 

 

 

 

 

18

Brachial lymph

nodes. Nodi

lymphatici

 

 

3

Superior deep lymph nodes. Nodi lymphatici

5

 

 

brachiales. Nodes along the axillary artery that

 

 

 

profundi superiores. Nodes that form the sec-

 

 

 

 

 

drain lymph from the arm. C

 

 

 

 

 

ond filter station for almost all of the head

 

 

 

 

 

 

19

Subscapular lymph nodes. Nodi lymphatici

6

 

 

 

lymph nodes but also receive direct peripheral

 

 

 

tributaries from their surroundings. Efferents:

 

subscapulares. Nodes alongside the subscapu-

 

 

 

 

 

7

 

 

 

jugular trunk. A

 

lar artery that drain lymph from the posterior

 

4

Lateral lymph nodes. Nodi lymphatici laterales.

 

thorax and shoulder as well as from the lower

 

 

 

nuchal region. C

 

 

8

 

 

 

They lie lateral to the internal jugular vein. A

20

Pectoral lymph nodes. Nodi lymphatici pec-

 

5

Anterior lymph nodes. Nodi lymphatici anteri-

 

 

 

torales. Nodes along the lateral margin of the

9

 

 

 

ores. Group of lymph nodes in front of the in-

 

pectoralis minor that drain lymph from the

 

 

 

ternal jugular vein. A

 

anterior and lateral wall of the trunk as far as

 

 

 

6 Jugulodigastric node. Nodus jugulodigastricus. It

 

the navel, as well as the central and lateral part

10

 

 

 

of the breast. C

 

 

 

 

 

is the most cranial of the deep cervical nodes

 

 

 

 

 

 

 

Central lymph nodes. Nodi lymphatici cen-

 

 

 

 

and is palpable when the tonsil, tongue or

21

11

 

 

 

pharynx is inflamed. A

 

trales. Nodes in the fat of the axillar that filter

 

 

 

 

 

lymph from the brachial, subscapular and pec-

 

 

7

Inferior deep cervical lymph nodes. Nodi

 

 

 

 

toral lymph nodes. C

 

12

 

 

 

lymphatici profundi inferiores. They form the

 

 

 

 

 

22

Interpectoral lymph nodes. Nodi lymphatici

 

 

 

 

second filter station for the lymph nodes of the

 

 

 

 

cervical viscera and the last filter station for the

 

interpectorales. Small group of nodes situated

 

 

 

 

 

13

 

 

 

 

 

 

 

lymph nodes of the head. They also receive

 

between the pectoralis major and minor. Affer-

 

 

 

 

direct tributaries. Efferents: jugular trunk.

 

ent area: mammary gland. Efferents: apical

 

 

 

 

 

14

8

Jugulo-omohyoid node. Nodus juguloomohy-

 

lymph nodes. C

 

 

23

Deltopectoral

(infraclavicular)

lymph

 

 

 

 

oideus. Node between the omohyoid muscle

 

 

 

 

15

 

 

 

and internal jugular vein. Afferent area: tongue.

 

nodes. Nodi lymphatici deltopectorales (infra-

 

 

 

A

 

claviculares). Nodes on the cephalic vein in the

 

 

 

 

 

 

 

 

9 Lateral lymphatic nodes. Nodi lymphatici later-

 

deltopectoral groove that receive lymph from

16

 

 

 

the arm. C

 

 

 

 

 

ales. They lie lateral to the internal jugular vein.

 

 

 

 

 

 

 

24

Brachial lymph nodes. Nodi lymphatici

 

 

 

 

A

17

 

 

 

10

Anterior lymph nodes. Nodi lymphatici anteri-

 

brachiales. Single lymph nodes along the

 

 

brachial vessels.

 

 

 

 

 

 

ores. Group in front of the internal jugular vein.

25

Cubital lymph nodes. Nodi lymphatici cubi-

18

 

 

 

 

 

 

A

 

11

Supraclavicular lymph nodes. Nodi lymphatici

 

tales. One or two lymph nodes on the brachial

 

 

artery in the cubital fossa. C

 

19

 

 

 

 

 

supraclaviculares. Nodes of the same group lo-

26 Supratrochlear lymph nodes. Nodi lymphatici

 

 

 

 

cated above the clavicle. A

 

 

 

 

 

supratrochlearis. Nodes that lie medial to the

20

 

 

 

 

 

12

Accessory nodes. Nodi accessorii.

 

basilic vein and above the elbow joint. C

 

13

Retropharyngeal lymph nodes. Nodi lym-

27

Superficial lymph nodes. Nodi lymphatici su-

 

21

 

 

 

phatici retropharyngeales. Deep cervical lymph

 

perficiales.

 

 

 

 

 

 

nodes at the level of the lateral mass of the atlas

28 Deep lymph nodes. Nodi lymphatici profundi.

22

 

 

 

and at the lateral margin of the longus capitis

 

 

 

 

Individual lymph nodes that follow the course

 

 

 

muscle. A B

 

 

 

 

 

 

of the deep lymphatic vessels.

 

 

 

 

 

 

 

 

2314 Upper limb. Membrum superius.

15 Axillary lymphatic plexus. Plexus lymphaticus

24axillaris. Netlike connections of 20−30 axillary lymph nodes via their lymphatic vessels. C

2516 Axillary lymph nodes. Nodi lymphatici axillares. Nodes in the axilla. C

Lymphatic system

259

 

 

 

 

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A Deep lymph nodes of neck

12

13

14

15

16

 

 

 

 

 

 

 

 

B

Neck, anterior view

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25

23

 

 

 

 

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18 15

21

 

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26

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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19

22

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C Lymph nodes of arm, axilla and chest

24

 

 

25

 

260

Lymphatic system

 

 

 

 

 

Thorax.

13

Tracheobronchial lymph nodes. Nodi lym-

1

 

1

 

2

PARAMAMMARY LYMPH NODES. Nodi lym-

 

phatici tracheobronchiales. Group located

 

 

 

along the bronchi at the site where they enter

 

 

 

 

phatici paramammarii. Lymph nodes on the

 

2

 

 

 

 

into the lungs. C

 

 

 

lateral margin of the mammary gland. A

 

3

 

3

Parasternal lymph nodes. Nodi lymphatici

14

Superior tracheobronchial lymph nodes. Nodi

 

 

 

parasternales. Nodes located along the course

 

lymphatici tracheobronchiales superiores.

 

 

 

 

of the internal thoracic vessels. Afferent re-

 

Group situated cranially on the stem bronchi

 

 

 

 

 

and the trachea. C

4

 

 

 

gions: mammary gland, intercostal spaces, part

 

 

 

 

 

 

 

 

 

of the liver and diaphragm. Efferents: either

15 Inferior tracheobronchial lymph nodes. Nodi lym-

 

 

 

 

5

 

 

 

directly into the respective subclavian vein or

 

phatici tracheobronchiales inferiores. Group lo-

 

 

 

internal jugular vein or into the thoracic duct or

 

cated caudal to the tracheal bifurcation. C

 

 

 

 

subclavian trunk. A

16 Paratracheal lymph nodes. Nodi lymphatici

6

 

4

Intercostal lymph nodes. Nodi lymphatici in-

 

 

paratracheales. Group situated along the tra-

 

 

 

 

tercostales. Nodes located in the paravertebral

 

chea. C

7

 

 

 

portion of the intercostal spaces. Afferent area:

17 Node of arch of azygos vein. [Nodus arcus

 

 

 

pleura and intercostal spaces. D

 

 

5

Paravertebral lymph nodes. Nodi lymphatici

 

venae azygos]. Lymph node occasionally pre-

8

 

 

sent at the arch which the azygos vein forms

 

 

 

praevertebrales.3 Nodes located between the

 

 

 

 

 

around the hilum of the right lung before join-

 

 

 

 

esophagus and vertebral column. Afferent re-

 

 

 

 

 

 

ing the superior vena cava. B

9

 

 

 

gions: surroundings, if not drained by other

 

 

 

 

 

 

 

 

 

vessels. C D

 

 

 

 

 

 

 

 

10

 

 

6 Superior phrenic lymph nodes. Nodi lymphat-

 

 

 

 

 

ici phrenici superiores. Nodes situated behind

 

 

 

 

 

 

 

 

11

 

 

 

the cartilage-bone boundary of the 7th rib at the

 

 

 

 

 

site where the aorta opens into the diaphragm

 

 

 

 

 

 

and along the inferior vena cava. Afferent areas:

 

 

12

 

 

 

liver and diaphragm. D

 

 

 

 

7 Prepericardial lymph nodes. Nodi lymphatici

 

 

 

 

 

 

 

 

 

 

 

prepericardiales. Nodes located between the

 

 

13

 

 

 

 

 

 

 

 

sternum and pericardium. Afferent regions:

 

 

 

 

 

 

sternum and anterior pericardium. Efferents:

 

 

14

 

 

 

parasternal lymph nodes. B

 

 

8Lateral pericardial lymph nodes. Nodi lym-

15phatici pericardiales laterales. Nodes found between the pericardium and mediastinal pleura. B

169 Anterior mediastinal lymph nodes. Nodi lymphatici mediastinales anteriores. Nodes along

17the brachiocephalic veins, in front of the arch of the aorta and its branches. Afferent regions: thymus, pericardium and parasternal lymph

18nodes. Efferents: bronchomediastinal trunk. B

10 Ligamentum arteriosum node. [Nodus liga-

19menti arteriosi]. Node occasionally found along the lig. arteriosum. B

2011 Posterior mediastinal lymph nodes. Nodi lymphatici mediastinales posteriores. Nodes sit-

21uated in the superior and posterior mediastinum. They receive lymph from the following organs: lungs, bronchi, trachea, esophagus,

22pericardium, diaphragm and diaphragmatic surface of the liver. They pass efferent vessels to the thoracic and bronchomediastinal ducts. The

23posterior mediastinal lymph nodes are subdivided into the following groups.

2412 Pulmonary juxtaesophageal lymph nodes.

Nodi lymphatici juxtaoesophageales pul-

25monales. Group situated beside the esophagus; they serve the lungs. C

Lymphatic system 261

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10

8

7

9

B Lymph nodes in thorax

4

5

6

3

2

A Lymph nodes of arm, axilla and thorax

16

14

12

15

13

5

C Lymph nodes in thorax

1

2

3

4

5

6

7

8

9

10

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14

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D Lymph nodes in thorax

23

 

 

 

 

 

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25