Lymphatic system
■ lymph 1,5-2l/day
■ lymphatic vessels (vasa lymphatica)
■ lymphatic nodes (nodi lymphatici)
■ lymphatic organs
capillaries (vasa lymphocapillaria)
lymphatic net (rete lymphocapillare)
collector vessels(collectores lymphatici)
trunks (trunci lymphatici)
tonsillae
lien
thymus
vas afferens
vas efferens
Nodus lymphaticus
- capsula
- trabeculae
- reticulum
- cortex
- medulla
- hilum
- sinus subcapsularis
- sinus corticalis
(peritrabecularis)
- sinus terminalis
(medullaris)
Tributary region
Regional lymph nodes
Tonsilla palatina
Tonsilla lingualis
Tonsilla pharyngea
Tonsilla tubaria
Waldeyer's tonsillar ring
Tonsilla abdominalis –
appendix vermiformis
Lien, splen
Reticulum
Pulpa rubra
Pulpa alba
Thymus
- lobus dx. et sin.
Area interpleuralis sup.
(thymica)
Thymus
- capsula
- reticulum
- lobuli
- cortex
- medulla
Folliculi lymphatici solitarii
Folliculi lymphatici aggregati
tr. subclavius sin.
tr. intestinalis
tr.lumbalis
dx.
tr. jugularis
sin.
tr. bronchomediast. sin.
tr. lumbalis sin.
ductus thoracicus
L1-2 (cisterna chyli)
Hlavní mízní kmeny
Ductus thoracicus
tr. jugularis
dx.
tr. subclavius dx.
tr. bronchomediast. dx.
ductus lymphaticus dx.
● nodi lymphatici occipitales
● nodi lymphatici retroauriculares
● nodi lymphatici parotidei
● nodi lymphatici submandibulares
● nodi lymphatici submentales
● nodi lymphatici retropharyngei
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
• superficiales
alongside vena jugularis externa
• profundi
alongside vena jugularis interna
alongside nervus accesorius
alongside arteria transversa coli
(supraclavicular)
• anteriores
superficial - alongside vena jugularis anterior
deep – around larynx, trachea, thyroid gland
Nodi lymphatici cervicales
● superficial collectors
anterior
lateral
medial
● deep collectors
n.l. cubitales superf.
n.l. cubitales prof.
n.l. axillares
Lymphatic vessels of the
upper extremity
n.l. axillares
● n.l. laterales (brachiales)
● n.l. subscapulares
● n.l. pectorales
(n.l. interpectorales)
● n.l. centrales
● n.l. apicales
truncus subclavius
Funkce uzliny
Lymphatic vessels of the thorax 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.
Nll. mediastinales post.
Lymphatic drainage of the breast
- nll. axillares
- nll. parasternales
- nll. supraclaviculares
- nll. intercostales
- nll. mediastinales ant.
n.l. poplitei prof.
n.l. inguinales prof.
n.l. poplitei superf.
n.l. inguinales superf.
● superficial collectors
posterior
lateral
medial
● deep collectors
Lymphatic vessels of the
lower extremity
Elephantiasis
Lymphatic vessels of the pelvis
• nodi lymphatici iliaci externi
• nodi lymphatici iliaci interni
parietal - sacrales
visceral - paravesicales
parauterini
paravaginales
(paraprostatici)
pararectales
Lymphatic nodes of the
abdominal cavity
nodi lymphatici iliaci comm.
nodi lymphatici lumbales
parietal
visceral from paired organs
truncus lumbalis dx. et sin.
nodi lymphatici coeliaci
Lymphatic nodes of the unpaired organs
• gastrici
• gastroepiploici
• hepatici
• pancreaticoduodenales
• pancreatici
• lienales
• mesenterici
• ileocolici
• colici
• mesenterici inferiores
truncus intestinalis
Lymphography