Lymphatics of thorax and abdomen Flashcards

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1
Q

What does the thoracic duct drain?

A

All lymph of the body apart from upper right quadrant above diaphragm

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2
Q

What does the lymphatic duct drain?

A

Upper right quadrant

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3
Q

What are the three horizontal planes to define gastroenteric nodes?

A

Level IA Celiac (T12)
Level IIA superior mesenteric (LI)
Level IIIA Inferior mesenteric (L3)

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4
Q

What is the boundary of the retrocrural LN?

A

Posterior to the crura of the diaphragm

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5
Q

What is the boundary of the Superior mesenteric LN?

A

Around the superior mesenteric artery and vein. Posterior and lateral to pancreas, anterior to aorta (at L1)

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6
Q

What is the boundary of the Paraaortic LN?

A

Around the aorta

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7
Q

What is the boundary of the Renal LN?

A

Around the renal artery and vein

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8
Q

What is the boundary of the Coeliac LN?

A

Between the stomach, liver and aorta (at T12)

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9
Q

What is the boundary of the Paraoesophageal LN?

A

Around the oesophagus

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10
Q

What is the boundary of the Splenic LN?

A

Around the splenic artery and vein

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11
Q

What is the boundary of the Interpectoral LN?

A

Fat plane between pectoralis major and pectoralis minor

Rotter’s nodes

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12
Q

What is the boundary of the paramammary LN?

A

Lateral to the breast

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13
Q

What is the boundary of the internal mammary LN?

A

Anterior ends of the intercostals spaces (between the

breasts)

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14
Q

What are the thoracic parietal LN?

A

Interpectoral
paramammary
internal mammary

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15
Q

What is the boundary of the paraaortic LN?

A

Surrounding the aorta

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16
Q

What is the boundary of the paratracheal LN?

A

Either side of trachea

17
Q

What is the boundary of the paraoesophagus LN?

A

Either side of oesophagus

18
Q

What is the boundary of the Aorticopulmonary LN?

A

Fatty space between the aorta and the pulmonary trunk

19
Q

What is the boundary of the Subcarinal LN?

A

Below the carina

20
Q

What is the boundary of the Hilar LN?

A

Around the hilum

21
Q

What is the boundary of the Paravertebral LN?

A

Either side of the verterbrae

22
Q

What is the boundary of the Retrocrural LN?

A

Behind the crura of the diaphragm

23
Q

What is the route of spread for the Lung?

A

Hilar-carinal- bronchotracheal-paratracheal

24
Q

What is the route of spread for the

Cervical Oesophagus?

A

supraclavicular and upper paratracheal nodes.

25
Q

What is the route of spread for the Breast?

A

Axillary-Internal mammary-supraclavicular-Pectoral

26
Q

What is the route of spread for the

Gastroesophageal?

A

pulmonary ligament, paracardial, left gastric, common hepatic, splenic, and celiac nodes