Lymphat

ics of
the
Body
Liste
d
Alph
abeti
cally
Structure

Location

Afferents from

Efferents to

Regions
drained

Notes

accessory
nodes

posterior
occipital nodes,
triangle of
retroauricular
the neck,
nodes
arranged
along the
accessory n.

transverse
cervical
chain of
nodes

occipital
region
and
posterior
scalp

accessory
nodes also
collect lymph
from the
nape of the
neck and the
region
overlying the
supraspinato
us fossa

anterior
auricular
nodes

subcutaneou lymphatic vessels

s connective from the side of the
tissue
head
anterior to
the ear

superior
parotid
nodes;
superior
deep
cervical
nodes

anterior
part of
the
parietal
region
of the
scalp;
anterior
surface
of the
ear and
external
acoustic
meatus

anterior
auricular
nodes are 1
or 2 in
number

anterior

along the

inferior deep skin and anterior

lymphatic vessels

jugular nodes

anterior
jugular vein

from the anterior

inferior part of the
neck

cervical
nodes

anterior
mediastinal
nodes

along the
course of the
brachiocepha
lic vessels
and aorta

lymphatic vessels
from the anterior
mediastinum and
middle
mediastinum

bronchomed thymus, anterior

iastinal
anterior mediastinal
trunk
respirato nodes are
ry
from 2 to 5
diaphrag in number
m,
pericardi
um, part
of the
heart

lateral axillary
nodes; central
axillary nodes;
subscapular
axillary nodes;
pectoral nodes;
accessory
lymphatic vessels
from the mammary
gland; lymphatic
vessels
accompanying the
cephalic v.

subclavian
lymphatic
trunk; deep
cervical
lymph
nodes

apical axillary apex of the

nodes
axilla

mm. of
the
anterior
infrahyo
id region
of the
neck

upper
limb,
most of
the
mammar
y gland,
some of
the
anterolat
eral
chest
wall,
posterior
thoracic
wall and
scapular
region

jugular nodes
are located
between the
superficial
layer of deep
cervical
fascia and
the
infrahyoid
mm.

apical
axillary
nodes are 612 in
number; this
is the highest
node group
in the axilla
and all other
node groups
drain through
these nodes;
a very
important
group of
nodes in
cases of
metastatic
spread of
breast
cancer;
connections
to deep
cervical
nodes may

result in
spread of
breast cancer
through the
deep neck
auricular
subcutaneou lymphatic vessels
nodes, anterior s connective from the side of the
tissue
head
anterior to
the ear

superior
parotid
nodes;
superior
deep
cervical
nodes

anterior
part of
the
parietal
region
of the
scalp;
anterior
surface
of the
ear and
external
acoustic
meatus

anterior
auricular
nodes are 1
or 2 in
number

axillary nodes axilla

efferents
vessels form
the
subclavian
trunk, some
drainage to
inferior deep
cervical
nodes

upper
limb,
most of
the
mammar
y gland,
some of
the
anterolat
eral
chest
wall,
posterior
thoracic
wall and
scapular
region

axillary
nodes
number from
20 to 30 and
are organized
in five
groups based
on their
position
within the
axilla: 1)
pectoral
nodes, along
the lateral
border of the
pectoralis
major m.; 2)
lateral nodes,
located along
the distal
axillary v.; 3)
central
nodes,
centrally
located along
axillary v.; 4)

cubital nodes;
lymphatic vessels
from the upper
limb, thoracic wall
and subscapular
region

subscapular
nodes,
located along
the
subscapular
v. and its
tributaries; 5)
apical nodes,
located at the
apex of axilla
axillary nodes, apex of the
apical
axilla

lateral axillary
nodes; central
axillary nodes;
subscapular
axillary nodes;
pectoral nodes;
accessory
lymphatic vessels
from the mammary
gland; lymphatic
vessels
accompanying the
cephalic v.

subclavian
lymphatic
trunk; deep
cervical
lymph
nodes

axillary nodes, in the fat of

central
the axilla

lateral axillary
apical
nodes; pectoral
axillary
nodes; subscapular nodes
nodes; lymphatic
vessels from the

upper
limb,
most of
the
mammar
y gland,
some of
the
anterolat
eral
chest
wall,
posterior
thoracic
wall and
scapular
region

apical
axillary
nodes are 612 in
number; this
is the highest
node group
in the axilla
and all other
node groups
drain through
these nodes;
a very
important
group of
nodes in
cases of
metastatic
spread of
breast
cancer;
connections
to deep
cervical
nodes may
result in
spread of
breast cancer
through the
deep neck

upper
limb,
most of
the
mammar

central
axillary
nodes are 4
or 5 in
number; they

mammary gland
and upper limb

central
axillary
nodes,
apical
axillary
nodes

y gland,
some of
the
anterolat
eral
chest
wall,
posterior
thoracic
wall and
scapular
region

are involved
in cancer of
the
mammary
gland

upper
limb

lateral
axillary
nodes
become
inflamed
during upper
limb
infections;
also known
as: brachial
nodes

axillary nodes, along the

lateral
distal
axillary v.

cubital nodes;
lymphatic vessels
of the arm

axillary nodes, along the

subscapular
course of the
subscapular
vessels

lymphatic vessels central

from the skin of the axillary
back and back of
nodes
the neck; lymphatic
vessels from the
muscles of the
scapular region

skin of
the back
and back
of the
neck;
muscles
of the
scapular
and
subscap
ular
regions

subscapular
axillary
nodes are 5
or 6 in
number; also
known as:
posterior
axillary
nodes

bronchomedias along the

tinal trunk
course of the
brachiocepha
lic v.

union of efferents
from the
paratracheal nodes,
parasternal nodes
and anterior
mediastinal nodes

thoracic
wall and
viscera;
medial
part of
the
mammar
y gland

right
bronchomedi
astinal trunk
receives
lymph from
the lower
lobe of the
left lung;
bronchomedi
astinal trunk

left: thoracic
duct; right:
right
lymphatic
duct

may drain
directly into
the venous
system on
either side
bronchopulmo hilum of the
nary nodes
lung

pulmonary nodes

tracheobron lung
chial nodes

celiac nodes

hepatic nodes,
gastric nodes,
pancreaticosplenic
nodes

intestinal
liver,
celiac nodes
lymph trunk gall
are from 3 to
bladder, 6 in number
stomach,
spleen,
pancreas

around the
celiac trunk

bronchopulm
onary nodes
are also
known as:
hilar nodes

central axillary in the fat of

nodes
the axilla

lateral axillary
apical
nodes; pectoral
axillary
nodes; subscapular nodes
nodes; lymphatic
vessels from the
mammary gland
and upper limb

upper
limb,
most of
the
mammar
y gland,
some of
the
anterolat
eral
chest
wall,
posterior
thoracic
wall and
scapular
region

cervical nodes, in and

deep
around
carotid
sheath
posterior and
lateral to the
internal
jugular v.

lymphatic vessels jugular

and numerous node trunk
groups from the
head and neck

head and superior and

neck
inferior
subdivisions
of deep
cervical
nodes are
delineated by
the crossing
of the
omohyoid m.

cisterna chyli

right and & left

all of the cisterna chyli

between the

thoracic

central
axillary
nodes are 4
or 5 in
number; they
are involved
in cancer of
the
mammary
gland

abdominal
lumbar trunks;
aorta and the possibly the
inferior vena intestinal trunk
cava anterior
to the body
of the L1 or
L2 vertebra

duct

body
below
the
respirato
ry
diaphrag
m; all of
the
abdomin
al and
pelvic
viscera

is an
enlargement
of the lower
end of the
thoracic duct;
it occurs in
about 25% of
individuals

colic nodes,
middle

along the
course of the
middle colic
vessels

peripheral nodes
located along the
attachment of the
mesentery

superior
mesenteric
nodes

transvers middle colic

e colon nodes are
approximatel
y 40 in
number

colic nodes,
right

along the
peripheral nodes
course of the located along the
right colic
marginal a.
vessels

superior
mesenteric
nodes

ascendin right colic

g colon, nodes are
cecum
approximatel
y 70 in
number

common iliac
nodes

along the
external iliac
common
nodes, internal iliac
iliac vessels; nodes
over the
sacral
promontory

lumbar
(lateral
aortic) chain
of nodes

lower
limb;
pelvic
organs,
perineu
m, lower
part of
the
anterior
abdomin
al wall

common iliac
nodes are
approximatel
y 6 in
number

cubital nodes

cubital fossa lymphatic vessels

of the upper from the forearm
limb

lateral
axillary
nodes

deep
tissues
of the
forearm
and
hand

cubital nodes
small and are
5 or 6 in
number

cystic node

near the neck lymphatic vessels

of the gall
of the gall bladder
bladder

hepatic
nodes

gall
bladder

cystic node
drains to the
node of the
omental
foramen,

then to
hepatic nodes
deep cervical
nodes

lymphatic vessels jugular

and numerous node trunk
groups from the
head and neck

head and superior and

neck
inferior
subdivisions
of deep
cervical
nodes are
delineated by
the crossing
of the
omohyoid m.

deep cervical around the

nodes, inferior internal
jugular v.,
inferior to
the crossing
of the
omohyoid m.

superior deep
cervical nodes;
numerous node
groups of the neck

jugular
trunk

head and inferior deep

neck
cervical
nodes are in
direct
continuity
with the
superior deep
cervical
chain of
nodes

deep cervical around the

nodes, superior internal
jugular v.,
superior to
the crossing
of the
omohyoid m.

numerous node
groups of the head
and upper neck,
including
retropharyngeal
nodes and deep
parotid nodes

inferior deep head and

cervical
the
nodes
superior
part of
the neck

deep inguinal
nodes

in and
around
carotid
sheath
posterior and
lateral to the
internal
jugular v.

along the
superficial inguinal external
medial side nodes, popliteal
iliac nodes
of the
nodes
femoral v.
deep to the
fascia lata
and inguinal
ligament

lower
limb,
external
genitalia
, lower
part of
the
anterior
abdomin
al wall

the superior
deep cervical
node group
has many
large nodes;
the
jugulodigastr
ic and
juguloomohy
oid nodes are
members of
this group
the deep
inguinal node
in the
femoral canal
is called the
node (or
gland) of
Cloquet

deep parotid
nodes

on the lateral lymphatic vessels

side of the
from the ear
pharyngeal
wall, deep to
the parotid
gland

external iliac
nodes

superior
deep
cervical
nodes

external
acoustic
meatus,
auditory
tube,
middle
ear

deep parotid
nodes are
part of the
deep cervical
chain of
nodes

along the
superficial inguinal common
external iliac nodes; deep
iliac nodes
vessels
inguinal nodes;
inferior epigastric
nodes

lower
limb;
external
genitalia
; lower
part of
the
anterior
abdomin
al wall

external iliac
nodes are 8
to 10 in
number

external
jugular nodes

along the
external
jugular v.

inferior
part of
the ear
and the
parotid
region

there are one

or two nodes
in this group

facial nodes

along the
lymphatic vessels
course of the from the face
facial a. and
v.

submandibu eyelids,
lar nodes
nose,
cheek
and lips

facial nodes
are grouped
inferior to
the orbit; at
the angle of
the mouth
and over the
mandible

gastric nodes,
left

on the lesser
curvature of
the stomach,
along the
course of the
left gastric
vessels

lymphatic vessels
from the lesser
curvature of the
stomach

celiac nodes lesser

curvatur
e of the
stomach

left gastric
nodes are 10
to 20 in
number

gastric nodes,
right

on the lesser
curvature of
the stomach,
along the
course of the
right gastric

lymphatic vessels
from the lesser
curvature of the
stomach

celiac nodes lesser

curvatur
e of the
stomach

right gastric
nodes are 2
to 3 in
number

lymphatic vessels superior

from the side of the deep
head
cervical
nodes

vessels
gastro-omental on the
nodes, left
greater
curvature of
the stomach,
along the left
gastroomental
vessels

lymphatic vessels
from the greater
curvature of the
stomach

splenic
nodes

left half
of the
greater
curvatur
e of the
stomach

left gastroomental
nodes are 1
or 2 in
number

gastro-omental on the
nodes, right
greater
curvature of
the stomach,
along the
right gastroomental
vessels

lymphatic vessels
from the greater
curvature of the
stomach

pyloric
nodes

greater
curvatur
e of the
stomach

right gastroomental
nodes are 6
to 12 in
number

liver and
gall
bladder;
extrahep
atic
biliary
apparatu
s;
respirato
ry
diaphrag
m; head
of
pancreas
and
duodenu
m

hepatic nodes
drain a
portion of the
respiratory
diaphragm
because of
the common
embryonic
origin of the
diaphragm
and the liver
(septum
transversum)

hepatic nodes

along the
right gastric nodes, celiac nodes
course of the pyloric nodes
common
hepatic a.

hilar nodes

at hilum of
lung

ileocolic nodes along the

origin and
terminal end
of the
ileocolic
vessels

pulmonary nodes

tracheobron lung
chial nodes

also known
as:
bronchopulm
onary nodes

peripheral nodes
located along the
attachment of the
mesentery

superior
mesenteric
nodes

ileocolic
nodes located
near the
ileocecal
junction may
be divided

ileum,
cecum,
appendi
x

into two
subsidiary
groups: cecal
nodes and
appendicular
nodes
iliac nodes,
common

along the
external iliac
common
nodes, internal iliac
iliac vessels; nodes
over the
sacral
promontory

iliac nodes,
external

iliac nodes,
internal

lumbar
(lateral
aortic) chain
of nodes

lower
limb;
pelvic
organs,
perineu
m, lower
part of
the
anterior
abdomin
al wall

common iliac
nodes are
approximatel
y 6 in
number

along the
superficial inguinal common
external iliac nodes; deep
iliac nodes
vessels
inguinal nodes;
inferior epigastric
nodes

lower
limb;
external
genitalia
; lower
part of
the
anterior
abdomin
al wall

external iliac
nodes are 8
to 10 in
number

along the
lymphatic vessels
internal iliac from the pelvic
vessels
viscera

common
iliac nodes,
external
iliac nodes

pelvis,
perineu
m and
gluteal
region

internal iliac
nodes are 4
to 8 in
number

inferior deep around the

cervical nodes internal
jugular v.,
inferior to
the crossing
of the
omohyoid m.

superior deep
cervical nodes;
numerous node
groups of the neck

jugular
trunk

head and inferior deep

neck
cervical
nodes are in
direct
continuity
with the
superior deep
cervical
chain of
nodes

inferior
mesenteric

peripheral nodes
located along the

lumbar
chain of

distal
1/3 of

around the
root of the

inferior
mesenteric

nodes

inferior
marginal a.
mesenteric a.

nodes,
superior
mesenteric
nodes

the
transvers
e colon,
descendi
ng
colon,
sigmoid
colon,
rectum

nodes may
number as
high as 90;
an important
node group
in cases of
cancer of the
colon and
rectum

right
superior
tracheobron
chial nodes

lower
lobes of
the
lungs;
middle
mediasti
num;
posterior
mediasti
num

left inferior
tracheobronc
hial nodes
drain to the
right side

infraclavicular along the

lymphatic vessels apical
nodes
cephalic v. in from the superficial axillary
the
upper limb
nodes
deltopectoral
groove

skin and
superfici
al fascia
of the
upper
limb

infraclavicul
ar nodes may
become
inflamed
during
infections of
the
superficial
tissues of the
upper limb

inguinal nodes, along the

superficial inguinal external
deep
medial side nodes, popliteal
iliac nodes
of the
nodes
femoral v.
deep to the
fascia lata
and inguinal
ligament

lower
limb,
external
genitalia
, lower
part of
the
anterior
abdomin
al wall

the deep
inguinal node
in the
femoral canal
is called the
node (or
gland) of
Cloquet

inguinal nodes, in the

superficial
superficial
fascia
parallel to
the inguinal

lower
abdomin
al wall;
external
genitalia

superficial
inguinal
nodes are 1220 in
number; they

inferior
inferior to
tracheobronchi tracheal
al nodes
bifurcation

bronchopulmonary
nodes, left side
inferior
tracheobronchial
nodes drain into
right inferior
tracheobronchial
nodes

lymphatic vessels
from the superficial
lower limb,
superficial
abdominal wall,

external
iliac nodes;
deep
inguinal
nodes

ligament and perineum

along the
terminal part
of the greater
saphenous v.

;
superfici
al parts
of the
lower
limb

become
inflamed
during
infections of
the lower
limb; they
may become
inflamed
during
infections of
the external
genitalia

intercostal
nodes

near the
heads of the
ribs

intercost
al space
and
posterol
ateral
thoracic
wall

usually two
nodes occur
in each
intercostal
space

internal iliac
nodes

along the
lymphatic vessels
internal iliac from the pelvic
vessels
viscera

common
iliac nodes,
external
iliac nodes

pelvis,
perineu
m and
gluteal
region

internal iliac
nodes are 4
to 8 in
number

intestinal
lymphatic
trunk

left side of
the
abdominal
aorta or
between the
abdominal
aorta and the
inferior vena
cava near the
level of the
superior
mesenteric
artery

union of efferent
lymphatic vessels
from the celiac
nodes and superior
mesenteric nodes

left lumbar
trunk or the
cisterna
chyli/thoraci
c duct

large
and
small
intestine
s

intestinal
lymph trunk
carries lymph
that is rich in
fat; drains
into the left
lumbar trunk
(70%),
cisterna chyli
(25%) or
right lumbar
trunk (5%)

jugular
lymphatic
trunk

carotid
sheath in
root of neck

deep cervical nodes left: thoracic head &

duct near its neck
termination;
right: right
lymphatic
duct or
junction of

lymphatic vessels cisterna

from the intercostal chyli/thoraci
space
c duct,
jugulosubcla
vian duct

jugular trunk
carries most
of the lymph
from the
head and
neck

right
subclavian
and right
internal
jugular vv.
jugular nodes, along the
anterior
anterior
jugular vein

lymphatic vessels
from the anterior
inferior part of the
neck

inferior deep skin and

cervical
mm. of
nodes
the
anterior
infrahyo
id region
of the
neck

jugular nodes, along the

external
external
jugular v.

lymphatic vessels superior

from the side of the deep
head
cervical
nodes

anterior
jugular nodes
are located
between the
superficial
layer of deep
cervical
fascia and
the
infrahyoid
mm.

inferior
part of
the ear
and the
parotid
region

there are one

or two nodes
in this group

jugulodigastric anterolateral superior deep

node
to internal
cervical nodes
jugular v.
where it is
crossed by
posterior
belly of the
digastric

inferior deep oral

cervical
cavity,
nodes
tongue,
palatine
tonsil

a member of
the superior
deep cervical
node group;
important
node to
palpate
during
physical
exam

juguloomohyoi lateral to
d node
internal
jugular v.
where it is
crossed by
superior
belly of
omohyoid

superior deep
cervical nodes

inferior deep subment an important

cervical
al region node to
nodes
and tip examine in
of
cases of oral
tongue; cancer
head & caused by
neck
use of
above
tobacco
this
products
level

juxtavisceral
nodes

cervical viscera

superior
deep

adjacent to
the cervical

esophag four groups

us,
of

viscera

cervical
nodes,
inferior deep
cervical
nodes

larynx,
trachea
and
thyroid
gland

juxtavisceral
nodes are
recognized:
infrahyoid,
prelaryngeal,
pretracheal
and
paratracheal

common iliac
nodes; lymphatic
vessels from the
posterior
abdominal wall and
viscera

efferents
form one
lumbar
trunk on
each side

lower
limb;
pelvic
organs;
perineu
m;
anterior
and
posterior
abdomin
al wall;
kidney;
supraren
al gland;
respirato
ry
diaphrag
m

also known
as: lumbar
nodes; the
intestinal
trunk drains
into to the
left lumbar
trunk; the
lumbar
trunks unite
to form the
thoracic
duct/cisterna
chyli

lateral axillary along the

nodes
distal
axillary v.

cubital nodes;
lymphatic vessels
of the arm

central
axillary
nodes,
apical
axillary
nodes

upper
limb

lateral
axillary
nodes
become
inflamed
during upper
limb
infections;
also known
as: brachial
nodes

left gastric
nodes

lymphatic vessels
from the lesser
curvature of the
stomach

celiac nodes lesser

curvatur
e of the
stomach

lateral aortic
nodes

along the
inferior vena
cava and
abdominal
aorta from
the aortic
bifurcation
to the aortic
hiatus of the
diaphragm

on the lesser
curvature of
the stomach,
along the
course of the
left gastric
vessels

left gastric
nodes are 10
to 20 in
number

left gastroon the

omental nodes greater
curvature of
the stomach,
along the left
gastroomental
vessels

lymphatic vessels
from the greater
curvature of the
stomach

splenic
nodes

left half
of the
greater
curvatur
e of the
stomach

left gastroomental
nodes are 1
or 2 in
number

lumbar nodes

along the
inferior vena
cava and
abdominal
aorta from
the aortic
bifurcation
to the aortic
hiatus of the
diaphragm

common iliac
nodes; lymphatic
vessels from the
posterior
abdominal wall and
viscera

efferents
form one
lumbar
trunk on
each side

lower
limb;
pelvic
organs;
perineu
m;
anterior
and
posterior
abdomin
al wall;
kidney;
supraren
al gland;
respirato
ry
diaphrag
m

also known
as: lateral
aortic nodes;
the intestinal
trunk drains
into to the
left lumbar
trunk; the
lumbar
trunks unite
to form the
thoracic
duct/cisterna
chyli

lumbar trunk

between the
lumbar
vertebral
bodies and
inferior vena
cava (right)
or aorta (left)
at the upper
end of the
lumbar chain
of nodes

lumbar (lateral
aortic) nodes; the
intestinal trunk
joins the left
lumbar trunk

thoracic
left
duct/cisterna lumbar
chyli
trunk left side
of the
body
below
the
respirato
ry
diaphrag
m, gut;
right
lumbar
trunk right
side of
body
below

lumbar
trunks unite
to form the
lower end of
the thoracic
duct; an
enlargement
of the lower
end of the
thoracic duct
(called the
cisterna
chyli) occurs
in about 25%
of
individuals,
and when it
is present,
the lumbar

the
trunks drain
diaphrag into it
m
mediastinal
along the
nodes, anterior course of the
brachiocepha
lic vessels
and aorta

lymphatic vessels
from the anterior
mediastinum and
middle
mediastinum

bronchomed thymus, anterior

iastinal
anterior mediastinal
trunk
respirato nodes are
ry
from 2 to 5
diaphrag in number
m,
pericardi
um, part
of the
heart

mediastinal
nodes,
posterior

along azygos
system of
veins and
esophagus

viscera of the
posterior
mediastinum and
chest wall

thoracic
duct,
inferior
tracheobron
chial nodes,
superior
tracheobron
chial nodes

posterior
mediasti
num,
posterior
aspect of
the heart
and
pericardi
um,
posterior
part of
the
respirato
ry
diaphrag
m

mesenteric
nodes

along the
vasa recta
and branches
of the
superior
mesenteric a.
between the
leaves of
peritoneum
forming the
mesentery

peripheral nodes
located along the
attachment of the
mesentery

superior
mesenteric
nodes

small
mesenteric
intestine nodes may
number as
many as 200;
an important
node group
in cases of
intestinal
cancer

lumbar
chain of
nodes,
superior

distal
1/3 of
the
transvers

mesenteric
around the
peripheral nodes
nodes, inferior root of the
located along the
inferior
marginal a.
mesenteric a.

posterior
mediastinal
nodes drain
primarily to
the thoracic
duct

inferior
mesenteric
nodes may
number as

mesenteric
nodes

e colon,
descendi
ng
colon,
sigmoid
colon,
rectum

high as 90;
an important
node group
in cases of
cancer of the
colon and
rectum
superior
mesenteric
nodes are
important in
the spread of
cancer from
the small and
large
intestine

mesenteric
along the
nodes, superior course of the
superior
mesenteric a.

mesenteric nodes,
ileocolic nodes,
right colic nodes,
middle colic nodes

celiac
nodes,
intestinal
lymph trunk

gut and
viscera
supplied
by the
superior
mesenter
ic a.

middle colic
nodes

peripheral nodes
located along the
attachment of the
mesentery

superior
mesenteric
nodes

transvers middle colic

e colon nodes are
approximatel
y 40 in
number

accessory
nodes

occipital
part of
the scalp
and the
superior
neck

occipital
nodes are 2
or 3 nodes
located
between the
attachments
of the
sternocleido
mastoid m.
and the
trapezius m.

duodenu
m and
head of
the
pancreas

lymph from
the pancreas
is drained in
three
different
directions:
pancreaticod
uodenal
nodes,
pancreaticos
plenic nodes,
superior

along the
course of the
middle colic
vessels

occipital nodes superior

lymphatic vessels
nuchal line, from the posterior
along the
head and neck
course of the
occipital a.
and v.

pancreaticoduo along the

lymphatic vessels pyloric
denal nodes
pancreaticod from the duodenum nodes
uodenal
and pancreas
arcade of
vessels

mesenteric
nodes
pancreaticospl along the
enic nodes
splenic
vessels

lymphatic vessels
from the pancreas
and greater
curvature of the
stomach

celiac nodes neck,

body
and tail
of the
pancreas
; left
half of
the
greater
curvatur
e of the
stomach

lymph from
the pancreas
is drained in
three
different
directions:
pandreaticod
uodenal
nodes,
pancreaticos
plenic nodes,
superior
mesenteric
nodes
paracardial
nodes are 5
or 6 in
number

paracardial
nodes

around the
lymphatic vessels
esophagogas of the fundus and
tric junction cardia of the
stomach

left gastric
nodes

fundus
and
cardia of
the
stomach

pararectal
nodes

along the
lymphatic vessels
course of the from the rectum
superior
and anal canal
rectal vessels

inferior
mesenteric
nodes

rectum pararectal
and anal nodes are
canal
small lymph
nodes that
are not well
localized

parasternal
nodes

lateral border
of sternum,
along the
course of the
internal
thoracic
vessels

larger
lymphatic
vessels in
the root of
the neck

medial
side of
the
mammar
y gland;
medial
part of
the
anterior
chest
wall and
muscles

anterior phrenic
nodes, lymphatic
vessels from the
anterior thoracic
wall

parasternal
nodes
constitute an
important
drainage
pattern in
cases of
cancer of the
mammary
gland; one or
two
parasternal
nodes may
be found in
the anterior
end of
intercostal

spaces 1-6;
also known
as: sternal
nodes
paratracheal
nodes

coursing
along the
lateral
surface of
the trachea
and
esophagus

bronchomed lungs,
iastinal
trachea,
trunk
upper
esophag
us, the
part of
the
larynx
below
the
vocal
folds

paratracheal
nodes are an
important
group of
nodes in
cases of
pulmonary
infection or
lung cancer;
also known
as: tracheal
nodes

parotid nodes, on the lateral lymphatic vessels

deep
side of the
from the ear
pharyngeal
wall, deep to
the parotid
gland

superior
deep
cervical
nodes

external
acoustic
meatus,
auditory
tube,
middle
ear

deep parotid
nodes are
part of the
deep cervical
chain of
nodes

parotid nodes, superficial to anterior auricular

superficial
the parotid
nodes
gland and
also deep to
the parotid
fascia

superior
deep
cervical
nodes

anterior
surface
of the
ear and
external
acoustic
meatus;
temporal
and
frontal
regions;
eyelids,
lacrimal
gland
cheek
and nose

superficial
parotid nodes
are up to 10
in number
and may be
located
superficial or
deep to the
parotid fascia

lymphatic vessels central

from the mammary axillary
gland and
nodes
anterolateral
thoracic wall

anterolat
eral
thoracic
wall and
muscles;

an important
group of
nodes to
examine
during a

pectoral nodes along the

lateral border
of the
pectoralis
major m.

superior
tracheobronchial
nodes

along the
course of the
lateral
thoracic
vessels

phrenic nodes

on the
thoracic
surface of
the
respiratory
diaphragm

most of
the
mammar
y gland

breast
physical
exam; also
known as:
anterior
axillary
nodes

lymphatic vessels
from the
diaphragm, liver
and thoracic wall

lumbar
nodes,
posterior
mediastinal
nodes

superior
surface
of the
liver,
respirato
ry
diaphrag
m

phrenic
nodes drain
two
structures
that are very
closely
related in
development
al origin - the
liver and
diaphragm
(septum
transversum)
; three
subgroups of
phrenic
nodes are
recognized:
anterior,
middle and
posterior

popliteal nodes in the

popliteal
fossa along
the popliteal
vessels

lymphatic vessels
that accompany the
anterior tibial ,
posterior tibial and
fibular vessels

deep and
superficial
inguinal
nodes

leg and
foot

5 or 6 nodes
located in the
fat of the
popliteal
fossa

posterior
mediastinal
nodes

viscera of the
posterior
mediastinum and
chest wall

thoracic
duct,
inferior
tracheobron
chial nodes,
superior
tracheobron
chial nodes

posterior
mediasti
num,
posterior
aspect of
the heart
and
pericardi
um,
posterior
part of
the

posterior
mediastinal
nodes drain
primarily to
the thoracic
duct

along azygos
system of
veins and
esophagus

respirato
ry
diaphrag
m
pulmonary
nodes

within the
lung
parenchyma

lymphatic vessels
from the
parenchyma of the
lung

pyloric nodes

near the
pancreaticoduodena hepatic
termination l nodes
nodes
of the
gastroduode
nal a.

head of pyloric nodes

pancreas are 6 to 8 in
and
number
duodenu
m; right
half of
greater
curvatur
e of
stomach

retroauricular
nodes

posterior to
the ear

superior
deep
cervical
nodes

scalp
overlyin
g the
posterior
parietal
region;
skin of
the
posterior
surface
of the
ear

retroauricular
nodes are 1
or 2 nodes
located at the
insertion of
the
sternocleido
mastoid m.

retropharyngea posterior to lymphatic vessels superior

l nodes
pharynx in
from the nasal and deep
the
pharyngeal regions cervical
retropharyng
nodes
eal space

nasal
fossae,
paranasa
l
sinuses,
hard
palate,
soft
palate,
middle

retropharyng
eal nodes are
one or two in
number; they
are part of
the deep
cervical
chain of
nodes

lymphatic vessels
from the ear and
side of the head

bronchopul lung
monary
parench
(hilar) nodes yma,
bronchia
l tree
within
the
lungs

pulmonary
nodes are
located along
the larger
bronchi of
the lung

ear,
orophary
nx
right colic
nodes

along the
peripheral nodes
course of the located along the
right colic
marginal a.
vessels

superior
mesenteric
nodes

right gastric
nodes

on the lesser
curvature of
the stomach,
along the
course of the
right gastric
vessels

lymphatic vessels
from the lesser
curvature of the
stomach

celiac nodes lesser

curvatur
e of the
stomach

right gastric
nodes are 2
to 3 in
number

right gastroon the

omental nodes greater
curvature of
the stomach,
along the
right gastroomental
vessels

lymphatic vessels
from the greater
curvature of the
stomach

pyloric
nodes

greater
curvatur
e of the
stomach

right gastroomental
nodes are 6
to 12 in
number

right
root of neck
lymphatic duct on the right
side

formed by the
union of the right
jugular trunk,the
right subclavian
trunk, and the right
bronchomediastinal
trunk

junction of
the right
subclavian
v. and right
internal
jugular v.

right
half of
the head
and
neck;
right
upper
limb;
right
side of
the chest

right
lymphatic
duct has a
valve near its
termination;
the three
trunks that
form right
lymphatic
duct may
drain
separately
into the
venous
system

common
iliac nodes

prostate sacral nodes

gland,
are 2 or 3 in
uterus, number
vagina,
rectum,
posterior

sacral nodes

along the
lymphatic vessels
course of the from the pelvic
lateral sacral viscera
aa.

ascendin right colic

g colon, nodes are
cecum
approximatel
y 70 in
number

pelvic
wall
spleen

in the
splenic brs. of the
abdominal
splenic a.
cavity below
the left dome
of the
diaphragm,
anterior to
the left
kidney

splenic v.

filters
blood by
phagocy
tosis;
produces
T & Blymphoc
ytes

spleen
contains
nodules of
lymphatic
tissue

sternal nodes

lateral border
of sternum,
along the
course of the
internal
thoracic
vessels

larger
lymphatic
vessels in
the root of
the neck

medial
side of
the
mammar
y gland;
medial
part of
the
anterior
chest
wall and
muscles

sternal nodes
constitute an
important
drainage
pattern in
cases of
cancer of the
mammary
gland; one or
two sternal
nodes may
be found in
the anterior
end of
intercostal
spaces 1-6;
also known
as:
parasternal
nodes

subclavian
trunk

along the
apical axillary
course of the nodes;
subclavian v. infraclavicular
nodes

drains into
the junction
of the
internal
jugular v.
and the
subclavian
v.

upper
limb,
most of
breast,
anterolat
eral
chest
wall

subclavian
lymphatic
trunk
occasionally
drains into
the thoracic
duct on the
left side; on
the right it
occasionally
drains into
the right
lymphatic
duct

anterior phrenic
nodes, lymphatic
vessels from the
anterior thoracic
wall

submandibular along the

nodes
inferior
border of the
submandibul
ar gland

submental
nodes

submental nodes;
facial nodes;
lymphatic vessels
from the
submandibular and
sublingual regions

superior
deep
cervical
nodes;
juguloomoh
yoid node

anterior
part of
tongue,
lower
lip, floor
of the
mouth,
nose,
cheeks,
chin,
gums
and
lower
incisor
teeth,
lower
surface
of palate

submandibul
ar nodes may
be within the
sheath of the
submandibul
ar gland; this
group
consists of
from 3 to 6
nodes

under the
lymphatic vessels
mandible on from the lower face
the
and chin
mylohyoid
m.

submandibu
lar nodes,
juguloomoh
yoid node

tip of the
tongue,
lower
lip, floor
of the
mouth,
chin,
gums
and
lower
incisor
teeth

submental
nodes are
important
nodes to
examine in
cases of oral
cancer
caused by the
use of
tobacco
products

skin of
the back
and back
of the
neck;
muscles
of the
scapular
and
subscap
ular
regions

subscapular
axillary
nodes are 5
or 6 in
number; also
known as:
posterior
axillary
nodes

head &
neck

several
groups are
designated

subscapular
along the
axillary nodes course of the
subscapular
vessels

lymphatic vessels central

from the skin of the axillary
back and back of
nodes
the neck; lymphatic
vessels from the
muscles of the
scapular region

superficial
in superficial lymphatic vessels
cervical nodes fascia and
from superficial
along
structures in head

varies by
group;
ultimate

superficial
vessels of
the head &
neck

superficial
in the
inguinal nodes superficial
fascia
parallel to
the inguinal
ligament and
along the
terminal part
of the greater
saphenous v.

superficial
parotid nodes

& neck

destination
is the
jugular
trunk

lymphatic vessels
from the superficial
lower limb,
superficial
abdominal wall,
perineum

external
iliac nodes;
deep
inguinal
nodes

lower
abdomin
al wall;
external
genitalia
;
superfici
al parts
of the
lower
limb

superficial
inguinal
nodes are 1220 in
number; they
become
inflamed
during
infections of
the lower
limb; they
may become
inflamed
during
infections of
the external
genitalia

superior
deep
cervical
nodes

anterior
surface
of the
ear and
external
acoustic
meatus;
temporal
and
frontal
regions;
eyelids,
lacrimal
gland

superficial
parotid nodes
are up to 10
in number
and may be
located
superficial or
deep to the
parotid fascia

superficial to anterior auricular

the parotid
nodes
gland and
also deep to
the parotid
fascia

by location:
occipital,
retroauricular
, anterior
auricular,
superficial
parotid,
facial,
submental,
submandibul
ar, external
jugular,
anterior
jugular

cheek
and nose
superior deep around the
cervical nodes internal
jugular v.,
superior to
the crossing
of the
omohyoid m.

numerous node
groups of the head
and upper neck,
including
retropharyngeal
nodes and deep
parotid nodes

inferior deep head and

cervical
the
nodes
superior
part of
the neck

the superior
deep cervical
node group
has many
large nodes;
the
jugulodigastr
ic and
juguloomohy
oid nodes are
members of
this group

superior
mesenteric
nodes

mesenteric nodes,
ileocolic nodes,
right colic nodes,
middle colic nodes

celiac
nodes,
intestinal
lymph trunk

gut and
viscera
supplied
by the
superior
mesenter
ic a.

superior
mesenteric
nodes are
important in
the spread of
cancer from
the small and
large
intestine

superior
superolateral bronchopulmonary paratracheal lungs,
tracheobronchi to the
(hilar) nodes
(tracheal)
middle
al nodes
tracheal
nodes
mediasti
bifurcation
num,
posterior
mediasti
num

inferior
tracheobronc
hial nodes
drain lymph
from the
lower lobe of
the left lung
to the right
superior
tracheobronc
hial nodes

along the
course of the
superior
mesenteric a.

supraclavicular in and
nodes
around
carotid
sheath below
level of
omohyoid

superior deep
cervical nodes,
transverse cervical
nodes, spinal
accessory nodes

efferents
form the
jugular
lymphatic
trunk

head and also known

neck
as: inferior
deep cervical
nodes

thoracic duct

formed by the
union of the lumbar
lymph trunks,
sometimes dilated

junction of
the left
subclavian
v. and the

all of the
body
and
limbs

between the
esophagus
anteriorly
and the

thoracic duct
is the largest
lymphatic
vessel; it

thoracic
vertebral
bodies
posteriorly

to form a cisterna
chyli

left internal
jugular v.

below
the
respirato
ry
diaphrag
m; the
left side
of the
chest,
left
upper
limb and
the left
side of
the head
and neck
above
the
diaphrag
m

passes
through the
aortic hiatus
on the right
side of aorta;
it swings to
the left side
of the
esophagus at
the T4-T5
intervertebral
disc (at the
level of the
sternal angle)

thymus

root of the
none
neck and
superior
mediastinum
posterior to
sternum

parasternal
nodes

essential
for
normal
develop
ment of
the
immune
system
maturati
on

thymus
involutes at
puberty and
is mostly
replaced by a
mass of fat

tonsil, lingual

superior
surface of
the root of
the tongue

lymphatic vessels
of the tongue

superior
deep
cervical
nodes

"guards"
the
entrance
of the
orophary
nx

lingual tonsil
is part of the
tonsillar ring
(of
Waldeyer)

lymphatic vessels
of the posterior
tongue and
palatoglossal/palato
pharyngeal arch
region

superior
deep
cervical
nodes,
especially
the
jugulodigast
ric node

"guards"
the
entrance
of the
orophary
nx

palatine
tonsil is part
of the
tonsillar ring
(of
Waldeyer)

tonsil, palatine lateral wall

of the
oropharynx
between the
palatoglossal
and
palatopharyn
geal arches

tonsil,
pharyngeal

roof and
lymphatic vessels
posterior
of the wall of the
wall of the
pharynx
nasopharynx

superior
deep
cervical
nodes

"guards"
the
entrance
to the
nasophar
ynx

pharyngeal
tonsil is part
of the
tonsillar ring
(of
Waldeyer);
also known
as: adenoids

tonsil, tubal

pharyngeal
recess

lymphatic vessels
of the torus
tubarius and
auditory tube

superior
deep
cervical
nodes

"guards"
the
entrance
to the
nasophar
ynx

tubal tonsil is
located at the
pharyngeal
orifice of the
auditory tube

tracheal nodes coursing

along the
lateral
surface of
the trachea
and
esophagus

superior
tracheobronchial
nodes

bronchomed lungs,
iastinal
trachea,
trunk
upper
esophag
us, the
part of
the
larynx
below
the
vocal
folds

tracheal
nodes are an
important
group of
nodes in
cases of
pulmonary
infection or
lung cancer;
also known
as:
paratracheal
nodes

tracheobronchi along the

al nodes
trachea,
around the
tracheal
bifurcation
and primary
bronchi

lymphatic vessels
from the lung

bronchomed lungs,
iastinal
visceral
lymph trunk pleura,
bronchi,
thoracic
part of
trachea,
left side
of heart,
esophag
us,
posterior
mediasti
num

tracheobronc
hial nodes
may be
divided into
five groups:
paratracheal
(tracheal),
superior
tracheobronc
hial, inferior
tracheobronc
hial,
bronchopulm
onary (hilar),
pulmonary

tracheobronchi inferior to
al nodes,
tracheal

bronchopulmonary right
nodes, left side
superior

lower
left inferior
lobes of tracheobronc

inferior

bifurcation

inferior
tracheobronchial
nodes drain into
right inferior
tracheobronchial
nodes

tracheobron the
hial nodes
chial nodes lungs;
drain to the
middle right side
mediasti
num;
posterior
mediasti
num

tracheobronchi superolateral bronchopulmonary paratracheal lungs,

al nodes,
to the
(hilar) nodes
(tracheal)
middle
superior
tracheal
nodes
mediasti
bifurcation
num,
posterior
mediasti
num

inferior
tracheobronc
hial nodes
drain lymph
from the
lower lobe of
the left lung
to the right
superior
tracheobronc
hial nodes

transverse
along the
cervical nodes course of the
transverse
cervical
blood vessels

transverse
cervical
nodes are
approximatel
y 10 in
number and
may drain
directly into
the internal
jugular v. or
subclavian v.

accessory chain of
nodes, sometimes
the apical axillary
nodes

variable:
jugular
lymphatic
trunk, right
lymphatic
trunk or
thoracic
duct

lateral
part of
the neck,
anterior
thoracic
wall,
mammar
y gland