updated stuff idk Flashcards
most common site for cancer in oral cavity
lips
main route of spread for oral cavity cancer (4)
buccinator
jugulodigastric
submandibular
submental
oral cavity cancers associated with HPV
tongue
floor of mouth
tonsils
second most common route of spread for oral cavity cancer(4)
parotid
jugular
upper posterior cervical
lower posterior cervical
upper lip drains to..
submandibular
preauricular
lower lip and anterior mouth drains to..
submental
oral tongue drains to..
anterior cervical chain
buccal mucosa drains to..
submandibular
subdigastric
most common site of spread for oral cavity
cervical lymph nodes
most cancers in oropharynx occur in..
tonsils
oropharynx drains to..(4)
subdigastric
upper cervical
submaxillary
pharyngeal
nasopharynx drains to.. (3)
cervical
retropharyngeal (node of Rouviere)
jugulodigastric
hypo pharynx drains to.. (5)
midcervical
superior deep
middle jugular
low jugular
retropharyngeal (node of Rouviere)
glottic cancers spread to
TRICK! – rarely spread to lymph nodes
supra glottic cancers spread to
jugulodigastric
midjugular
subglottic cancers spread to (3)
pretracheal
paratracheal
inferior jugular nodes
salivary gland cancers spread to(3)
nodes in facial group
submandibular
extraglandular parotid
thyroid lymphatics(4)
internal jugular chain
anterior cervical (delphian)
pretracheal
paratracheal
spinal accessory
posterior cervical chain
all lymph involved with the lung drain to ____ nodes
intrapulmonary
main lung lymph nodes (4)
bronchopulmonary
hilar
interlobar
mediastinal
superior mediastinal nodes (4)
paratracheal
pretracheal
retrotracheal
azygos
inferior mediastinal nodes (3)
subcarinal
paraesophageal
pulmonary ligament
upper thoracic esophagus drains to (4)
internal jugular
cervical
paraesophageal
s’clav
middle thoracic drains to (5)
paratracheal
hilar
subcarinal
paraesophageal
paracardial
stomach drains to(5)
celiac
splenic hilum
suprapancreatic
porta hepatis
gastroduodenal nodes
lower thoracic esophagus drains to
celiac axis
gastric
nodes in lesser curvature of stomach
most common stomach lymph node
celiac
small bowel drains to..
mesenteric
celiac
right colon drains to
ileocecal
right colic
left colon drains to
mid colic
inferior mesenteric
left colic
sigmoid colon drains to
inferior mesenteric
nodes along: superior rectal, sigmoidal, sigmoidal mesenteric vessels
upper rectum drains to
nodes along middle rectal vessels
middle rectum drain to
internal iliac
lower rectal drains to
internal iliac
inguinal
anal canal drains to
inguinal
perirectal
anorectal
anal cancers above dentate line drains to
internal iliac
lateral sacral
anal cancers below dentate line drains to
inguinal
pancreas drains to (4)
sup/inf pancreaticoduodenal
porta hepatis
celiac
superior mesenteric
adrenal gland drains to
para aortic
liver drains to
celiac
porta hepatic
cystic
hilar
gallbladder drains to
celiac
nodes within porta hepatis
nodes within pancreaticoduodenal
ureter drains to
renal hilar
para aortic
paracaval
common iliac
internal iliac
external iliac
right kidney drains to
paracaval
interaortocaval
left kidney drains to
para aortic
bladder drains to
external iliac
common iliac
presacral
paraortic
urethra drains to
obturator
internal iliac
external iliac
urethral meatus drains to
superficial inguinal
deep inguinal
external iliac
order of prostate lymphatics (6)
1) periprostatic
2) obturator
3) external iliac
4) hypogastric
5) common iliac
6) peri aortic
prostate lymph node involved with mets
para aortic
left testes drainage
para aortic
right testes drainage
paraclaval
right testes may cross over to..
left renal hilum nodes
what does hockey stick tx treat
para aortic
ipsilateral inguinal
skin of testes drains to
inguinal
iliac
prepuce and skin of penis drain to
bilateral superficial inguinal
glans penis drains to
bilateral inguinal
iliac
penis corporal tissue drains to
deep inguinal
iliac
penis distantly mets to
inguinal
endometrium drains to
internal iliac
external iliac
para aortic
cervix drains to
internal iliac
external iliac
obturator
cervix distantly mets to
para aortic
mediastinal
s’clav
ovarian primarily drains to
peri aortic
ovarian also spreads to
external iliac
inguinal
vagina drains to
inguinal
vulva drains to (6)
superficial inguinal
superficial femoral
deep femoral
external iliac
common iliac
Cloquet’s node
lower half skeletal drains to
femoral
upper half skeletal drains to
axillary
skull and facial skeletal drains to
neck nodes
lymphatic organs (4)
spleen
thymus
tonsils
thoracic duct
lymphatic vessels eventually empty into the ______ or the _________, which then drains into the ___________.
thoracic duct
right lymphatic duct
subclavian veins
what is the largest lymphatic organ
spleen
major lymph node in oro/nasopharynx
waldeyer’s ring
major lymph nodes (10)
cervical
preauricular
occipital
axillary
hilar
mediastinal
para aortic
iliac
inguinal
femoral
peyer’s patches are
lymphatic tissue on the small intestine
T cells are in the..
thymus
B cells are in..
bone marrow
most common location for Hodgkins
neck or s’clav region
common nodal sites for non Hodgkins (3)
neck
groin
axilla
common location for sarcoma lymph drainage
TRICK! lymphatic spread is rare