Chart of lymph nodes: Illustration Picture of Lymphatic System

05.08.202310.06.2023 by alexxlab

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Anatomy Chart Lymphatic System

Wolters Kluwer

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Wolters Kluwer

The Lymphatic System Laminated Anatomical Chart

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SKU:: A-102815
UPC:: 9781587790256
MPN:: 9781587790256
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This visually informative chart features classic illustrations by Peter Bachin. The Lymphatic System Anatomical Chart illustrates internal iliac lymph node, as well as the lymph nodes and vessels of the stomach, pancreas, spleen, binary tract, small intestive, inguinal region, pelvis, and the posterior wall of the abdomen.

Measures 20x26in.. Printed in the USA by Anatomical Chart Company.

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Lymphatic Drainage Laminated Anatomy Chart

Rudiger Anatomie

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Lymphatic Drainage Laminated Anatomy Chart

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SKU:: A-105259
UPC:: 616316880221
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Description

This poster shows massage techniques to ease the symptoms of lymphedema. Makes a great addition to medical offices or for at home use for patients suffering from this condition. Chart measures 19.69 inches x 27.56 inches and is laminated for durability. Printed in Germany and exclusive to AnatomyWarehouse!

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5 Year Warranty

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4 Reviews

4 Reviews

4
Manual Lymphatic Drainage
Posted by Monica Fermoyle on Sep 18th 2020
As a lymphedema patient, this will be helpful in performing MLD on myself and dry brushing. The only thing that could be better is a chart with alternative MLD for the breast and armpit area.
Great and clear chart though!
4
Overall good
Posted by Kathryn on Dec 28th 2017
The chart is easy to follow and descriptive, although the smaller print an be a little hard to see. Over all, good chart.
5
Lymphatic Draining
Posted by Tereasa S. on Aug 30th 2016
This poster is ideal for my clinic. The information offered by this chart about how Lymphatic drainage massage work is very useful. It shows detail and illustrate the massage technique for lymphedema symptoms. The cost is worth enough with the facts obtain by this poster. Thanks.
5
Reference Points
Posted by Braiden L on Jul 3rd 2015
This chart is up in the massage room at my chiropractic office. I find that it is a helpful reminder to use the lymphatic drainage techniques I learned in school on my clients when they are dealing with swelling, migraines and even stress related sleep issues.

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Mediastinal lymph nodes

1 Lower cervical, supraclavicular and lymph nodes of the notch of the sternum (left and right). They are located on both sides of the midline of the trachea in the lower third of the neck and supraclavicular regions, the upper border is the lower edge of the cricoid cartilage, the lower one is the clavicle and the jugular notch of the sternum handle.

Upper mediastinal lymph nodes 2-4

2L Left upper paratracheal tubes are located along the left wall of the trachea, from the upper edge of the manubrium of the sternum to the upper edge of the aortic arch.
2R The right upper paratracheal veins are located along the right wall of the trachea and in front of the trachea to its left wall, from the level of the upper edge of the manubrium of the sternum to the lower wall of the left brachiocephalic vein in the area of intersection with the trachea.
3A Prevascular lymph nodes are not adjacent to the trachea as nodes of group 2, but are located anterior to the vessels (from the posterior wall of the sternum, to the anterior wall of the superior vena cava on the right and the anterior wall of the left carotid artery on the left) 3P Prevertebral (Retrotracheal) located in the posterior mediastinum, do not adjoin the trachea as nodes of group 2, but are localized posterior to the esophagus.
4R Inferior paratracheal from the intersection of the lower edge of the brachiocephalic vein with the trachea to the lower border of the unpaired vein, along the right wall of the trachea to its left wall.
4L Inferior paratracheal from the upper edge of the aortic arch to the upper edge of the left main pulmonary artery

Aortic lymph nodes 5-6
- 5. Subaortic lymph nodes are located in the aortopulmonary window, lateral to the arterial ligament, they are located not between the aorta and the pulmonary trunk, but lateral to them.
- 6. Para-aortic lymph nodes lie in front and to the side of the ascending aortic arch
Lower mediastinal lymph nodes 7-9
- 7. Subcarinal lymph nodes.
- 8. Paraesophageal lymph nodes. Lymph nodes below the level of carina.
- 9. Pulmonary ligament nodes. They lie within the pulmonary ligament.
Root, lobar and (sub)segmental lymph nodes 10-14
- All these groups belong to N1 lymph nodes. The nodes of the root of the lung are located along the main bronchus and vessels of the root of the lung. On the right they extend from the lower edge of the unpaired vein to the area of division into lobar bronchi, on the left – from the upper edge of the pulmonary artery.

1. Supraclavicular lymph nodes

This group includes the lower cervical, supraclavicular and lymph nodes of the notch of the sternum.
Upper limit: lower edge of the cricoid cartilage. Lower border: clavicles and jugular notch of the manubrium of the sternum.
The midline of the trachea is the boundary between the right and left groups.

2R. Right upper paratracheal lymph nodes

Located up to the left wall of the trachea. Upper limit: the upper edge of the manubrium of the sternum.
Inferior margin: intersection of the inferior margin of the brachiocephalic vein with the trachea.

2L. Left upper paratracheal lymph nodes

Upper limit: upper edge of the manubrium of the sternum.
Inferior margin: superior margin of the aortic arch.
The image on the left shows 2 lymph nodes anterior to the trachea, i.e. 2R, also visible is a small prevascular lymph node 3A group.

3. Pravascular and prevertebral lymph nodes

Group 3 lymph nodes do not adjoin the trachea, unlike group 2 lymph nodes. They are subdivided into: 3A anterior to the vessels 3P behind the esophagus/prevertebral They are not accessible by mediastinoscopy. The 3P group may be available on transesophageal echocardiography.

In the image on the left, 3A is a nodule in the prevascular space. Pay attention also to the paratracheal nodes located below on the right, belonging to the 4R group.

4R. Right lower paratracheal lymph nodes

Upper limit: intersection of the lower edge of the left brachiocephalic vein with the trachea.
Inferior border: inferior margin of the azygos vein. 4R nodes extend to the left edge of the trachea.

In the image on the left we see 4R paratracheal nodes. In addition, here is a node outward from the aortic arch, that is, 6 groups.

4L. Left lower paratracheal lymph nodes

4L nodes located to the left of the left wall of the trachea, between horizontal lines drawn in relation to the upper wall of the aortic arch and a line passing through the left main bronchus at the level of the upper edge of the upper lobe bronchus. They include paratracheal nodes located medially from the arterial ligament.

Group 5 nodes (of the aortopulmonary window) are located outside of the arterial ligament.

On the left image, above the level of the pulmonary trunk, the lower paratracheal nodes are shown on the left and right, nodes of groups 3 and 5 are also shown here.

Image on the left above carina level. To the left of the trachea 4L nodes. Note that they are located between the pulmonary trunk and the aorta, but not in the aortopulmonary window, because they lie medial to the ligamentum arteriosus. Lymph nodes lateral to the pulmonary trunk belong to group 5.

5. Subaortic lymph nodes
- The subaortic or aortopulmonary window is located outward from the arterial ligament and proximal to the first branch of the left pulmonary artery and lies within the mediastinal pleura.
6. Para-aortic lymph nodes
- Para-aortic lymph nodes lie anterior and outward of the ascending aorta and between the superior and inferior edges of the aortic arch.

7. Subcarinal lymph nodes

These lymph nodes are located below the level of the bifurcation of the trachea (carina), but do not belong to the lower lobe bronchus and artery. On the right, they are located caudal to the lower wall of the intermediate bronchus. On the left, they are located caudal to the upper wall of the lower lobe bronchus. Left lymph node 7 group to the right of the esophagus.

8. Paraesophageal lymph nodes

These lymph nodes are below the subcarinal lymph nodes and extend caudally to the diaphragm. In the image on the left, below the level of the carina, to the right of the esophagus, a group 8 lymph node is indicated.

The PET image on the left shows the accumulation of 18P-deoxyglucose in the group 8 node. The corresponding CT image shows that this lymph node (blue arrow) is not enlarged. The probability that there is a metastatic lesion in this node is extremely high, since the specificity of PET is higher than the measurement of the size of the lymph nodes.

9. lymph nodes of the pulmonary ligament

These lymph nodes lie within the pulmonary ligament, including along the inferior pulmonary vein. The pulmonary ligament is represented by a duplication of the mediastinal pleura covering the root of the lung.

10. lymph nodes of the root of the lung

Lymph nodes of the root are located proximal to the lobar nodes, but distal to the mediastinal duplication and nodes of the intermediate bronchus on the right.

All lymph nodes of groups 10-14 are N1 nodes, since they are located outside the mediastinum.

1. lymph nodes of the notch of the sternum are visible only at this level and above it

2. upper paratracheal lymph nodes: below the clavicle, on the right above the intersection of the lower edge of the left brachiocephalic trunk and trachea, and on the left above the aortic arch
3. Prevascular and retrotracheal: anterior to the vessels (3A) and prevertebral (3P)
4. Inferior paratracheal: below the upper edge of the aortic arch to the level of the main bronchus
5. Subaortic (aortopulmonary window): lymph nodes outward from the arterial ligament or outward from the aorta or left pulmonary artery.
6. Para-aortic: nodes lying anterior and outward from the ascending aorta and aortic arch under the upper edge of the aortic arch.
7. Subcarinal lymph nodes.
8. Paraesophageal lymph nodes (below carina).
9. Pulmonary ligament lymph nodes: lie within the pulmonary ligament.
10-14 lymph nodes N1

Mediastinoscopy and transesophageal ultrasound 4L groups, subcarinal lymph nodes 7 groups . Group 1 is located above the suprasternal notch and is not accessible during routine mediastinoscopy.

Extended mediastinoscopy

Tumors of the left upper lobe can metastasize to subaortic (group 5) and para-aortic lymph nodes (group 6). These nodes are not available for biopsy during routine mediastinoscopy. Extended mediastinoscopy is an alternative to parasternal mediastinotomy. This procedure is used less frequently due to a higher risk of complications.

Ultrasound guided fine needle aspiration biopsy

Can be used for all lymph nodes accessible by ultrasound imaging from the esophagus. In particular, access to the lymph nodes of the lower mediastinum (groups 7-9) is provided. In addition, with this type of study, the left lobe of the liver and the left adrenal gland are available for visualization.

Sources:

Regional lymph node classification for lung cancer staging
by CF Mountain and CM Dresler
Chest, Vol 111, 1718-1723
The IASLC Lung Cancer Staging Project: A Proposal for a New International Lymph Node Map in the Forthcoming Seventh Edition of the TNM Classification for Lung Cancer
by Valerie Rusch et al
Journal of Thoracic Oncology: May 2009 – Volume 4 – Issue 5 – pp 568-577
Conventional mediastinoscopy
by Paul De Leyn and Toni Lerut.
in the Multimedia Manual of Cardiothoracic Surgery
Mediastinal Staging of Non Small-Cell Lung Cancer
by Christian Lloyd, MD, and Gerard A.Silvestri, MD, FCCP Christian Lloyd, MD, and Gerard A.Silvestri, MD, FCCP
Cancer Control, July/August 2001,Vol.

Chart of lymph nodes: Illustration Picture of Lymphatic System

Anatomy Chart Lymphatic System

Wolters Kluwer

Wolters Kluwer

The Lymphatic System Laminated Anatomical Chart

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IASLC Intrathoracic Lymph Node Map – e-Anatomy

Definition

Gallery

Mediastinal lymph nodes

1. Supraclavicular lymph nodes

3. Pravascular and prevertebral lymph nodes

4L. Left lower paratracheal lymph nodes

7. Subcarinal lymph nodes

8. Paraesophageal lymph nodes

9. lymph nodes of the pulmonary ligament

10. lymph nodes of the root of the lung

Mediastinoscopy and transesophageal ultrasound 4L groups, subcarinal lymph nodes 7 groups . Group 1 is located above the suprasternal notch and is not accessible during routine mediastinoscopy.

Extended mediastinoscopy

Ultrasound guided fine needle aspiration biopsy

Sources:

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