LYMPHATIC SYSTEM



Vasa lymphocapillaria – rete lymphocapillare
Lymphoedema, metastasis
Vasa lymphatica – vas afferens, vas efferens
Lymphangion
Trunci lymphatici
Lympha – chylus
Folliculi lymphatici, nodi lymphatici, tonsillae, lien,
mucosa-associated lymphoid tissue, thymus

[ The flow of lymph into a capillary ]
CAPILLARY LYMPH PUMP


Nodus lymphaticus
>
- capsula
- trabeculae
- reticulum
- cortex
- medulla
- hilum
- sinus subcapsularis
- sinus corticalis
            (peritrabecularis)
- sinus terminalis
            (medullaris)
Tributary region
Regional lymph nodes
Sentinel lymph node

Tonsilla palatina

Tonsilla palatina

Tonsilla lingualis

Tonsilla lingualis a palatina

Tonsilla pharyngea
Tonsilla tubaria
Waldeyer's tonsillar ring

Tonsilla pharyngea

Tonsilla abdominalis –
appendix vermiformis

Appendix, lien

Lien, splen

Appendix. lien

Lien



Lien



Lien



>
Reticulum
Pulpa rubra
Pulpa alba

Thymus
 - lobus dx. et sin.

Thymus, of a 2 year-old child; ventral view.

Thymus novorozence



Thymus, of an adolescent; the anterior wall of the thorax has been removed, the pleural cavity
exposed and the left lung retracted laterally; ventral view.


Area interpleuralis sup.
 (thymica)

Thymus, ventral view, in the young adult.

>
Thymus
 - capsula
 - reticulum
 - lobuli
 - cortex
 - medulla

Folliculi lymphatici solitarii
Folliculi lymphatici aggregati

Folliculi lymphatici aggregati

>
Truncus lymphaticus dexter
 - tr. jugularis dexter
 - tr. subclavius dx.
 - tr. bronchomediastinalis dx.
Ductus thoracicus
 - tr. lumbalis dx. et sin.
 - tr. intestinalis
(cisterna chyli)
 - tr. jugularis sin.
 - tr. subclavius sin.
 - tr. bronchomediastinalis sin.

Ductus thoracicus

Ductus thoracicus

Ductus thoracicus

Ductus thoracicus

Nodi lymph. occipitales
Nll. retroauriculares
Nll. parotidei
Nll. submandibulares
Nll. submentales
Nll. cervicales ant.spf. et prof.
Nll. cervicales lat. spf. et prof.
 (nll. jugulares int.
nll. supraclaviculares)
            tr. jugularis
Lymphatic drainage
of the head and neck:

Nodi lymphatici, of the head and neck of an 8 year-old male

Nll. submandibulares

Nodi lymphatici submandibulares

>
Lymphatic drainage of the tongue
Nl. tonsillaris (Wood)
Nl. jugulodigastricus
      (Küttner)
Nl. juguloomohyoideus

>
Superficial lymph vessels:
 - collectores laterales
 - collectores mediales
 - collectores anteriores (medii)
Nll. cubitales spf. et prof.

Nll. axillares



Nodi lymph.
axillares:
 - laterales
 - pectorales
   (Sorgius)
 - subscapulares
 - centrales
 - apicales
    - infraclaviculares
      tr. subclavius

Fig. 394  Axillary fossa, Fossa axillaris; deep layer of the neck; the clavicle has been partially
removed; the pectoral muscles have been sectioned; ventral view (left).

Lymphatic drainage of the breast

 - nll. axillares
 - nll. parasternales
 - nll. supraclaviculares
 - nll. intercostales
 - nll. mediastinales ant.

Fig. 789  Lymphatic drainage of the mammary gland and location of the regional lymph nodes. Note
the connections between the lymphatic vessels of both sides and the lymphatic drainage into the
intrathoracic lymph nodes.

>
Nll. pulmonales
Nll. bronchopulmonales
Nll. tracheobronchiales
inf., sup. – dx. et sin.
Nll. paratracheales
     tr. bronchomediastinalis

>
Nll. parasternales
Nll. intercostales
Nll. praevertebrales
Nll. phrenici sup.

Nll. mediastinales ant.

the mediastinal lymph nodes; ventral view.

Nll. mediastinales post.

Posterior mediastinal lymph nodes, Nodi lymphatici thoracis; the greater vessels of the mediastinum
have been preserved; dorsal view. In the healthy adult the lymph nodes are usually smaller than
shown here.

Nll. gastrici dx. et sin.
Nll. gastroomentales dx.et sin.
Nll. pancreaticoduodenales
       sup. et inf.
Nll. lienales
Nll. coeliaci
Nll. hepatici
Nll. pancreatici
       sup. et inf.
        tr. intestinalis

Nll. Gastrici, slezina

>
Nodi mesenterici sup.
Nodi mesenterici inf.
      tr. intestinalis

Nll. iliaci interni
 - nll. paravesicales
 - nll. paravaginales
 - nll. parauterini
   (Bayer)
 - nll. pararectales
 - nll. gluteales
 - nll. sacrales
Nll. iliaci externi
Nll. iliaci communes

Nll. inguinales, iliaci ext., communes, lumbales

Nll. lumbales
       (paraaortici)
       tr. lumbalis dx. et sin.

Lymphatic vessels, Vasa lymphatica, lymph nodes, Nodi lymphatici, of the pelvic wall in the female;
the pelvis has been sectioned in the median plane; the uterus has been pulled sinistroventrally;
most of the peritoneum has been removed; lateral view (right). The lymph nodes shown here are often
much smaller but always present. Via the lymphatic vessels in the round ligament (Lig. teres uteri)
tumor cells may spread from the uterus to the superficial inguinal lymph nodes.

>
Drainage of the male pelvis


>
Drainage of the female pelvis


Lymphography
Lymphangiogram

AP lymfogram po injekci kontr. látky do mízních cév obou noh. Segmenty mezi chlopněmi jsou vidět
jako šnůry perel.

>
Superficial lymph vessels:
 - collectores mediales
 - collectores laterales
 - collectores posteriores
Nll. poplitei spf. et prof.

Nll. inguinales spf.
Nll. inguinales prof.
(Cloquet-Rosenmüller)

Draining areas of the lymph nodes of the inguinal region, Regio inguinalis, in the female; ventral
view (right).
*   Lymph fluid drains from the medial part of the uterine tube and the uterine fundus via the
round ligament (Lig. teres uteri) to the superficial lymph nodes of the inguinal region.

Nll. inguinales spf.
 (hiatus saphenus)

Superficial lymphatic vessels, lymph nodes and main veins of the inguinal region, Regio inguinalis;
ventral view (right).