Stomach: Lymphatic Supply

Question 1

Lymphatic drainage

Answer 1

Lymphatics from stomach surfaces pass towards its curvature, where lymph nodes are located along arteries supplying stomach

Question 2

Lymphatic drainage supply

Answer 2

1. Paraesophageal lymph nodes
2. Splenic lymph nodes
3. Left and right gastroepiploic lymph nodes
4. Left and right gastric lymph nodes
5. Right gastric lymph node
6. Right gastroepiploic lymph node
7. Subpyloric lymph node
8. Retropyloric lymph node
9. Suprapyloric lymph node

Question 3

End

Answer 3

1. Mainly in coeliac lymph nodes
2. Superior mesenteric nodes

Question 4

Applied anatomy: spread from cysterna chyli

Answer 4

1. From coeliac nodes, malignant cells can spread to cysterna chyli
   To
2. Thoracic duct
   To
3. Retrograde spread to left supraclavicular nodes (virchow glands)

Question 5

Applied anatomy: retrograde spread of malignant cells around hepatic artery

Answer 5

1. From coeliac nodes
2. Retrograde spread of malignant cells in lymphatics around hepatic artery leads to porta hepatis nodes enlargement

Question 6

Applied anatomy: malignant cells retrograde spread from porta hepatis nodes

Answer 6

May lead to:
1. Liver metastases
2. Spread in falciform ligament lymphatics around Ligamentum teres
3. Umbilicus malignant nodule (sister Joseph nodule)