List of subjects in Gray's Anatomy: VIII. The Lymphatic system

1 Introduction (Gray's s175)
2 The thoractic duct (Gray's s176)
3 The lymphatics of the head, face, and neck (Gray's s177)
4 The lymphatics of the upper extremity (Gray's s178)
5 The lymphatics of the lower extremity (Gray's s179)
6 The lymphatics of the abdomen and pelvis (Gray's s180)
7 The lymphatic vessels of the thorax (Gray's s181)
8 See also

Introduction (Gray's s175)

Gray's page #683

lacteals or chyliferous vessels
chyle

Gray's page #684

Lymphatic capillaries

Gray's page #688

Gray's page #689

Gray's page #690

Hemolymph nodes or glands and hemal nodes

The thoractic duct (Gray's s176)

Gray's page #690

thoracic duct (ductus thoracicus)
cisterna chyli

Gray's page #691

cisterna chyli (receptaculum chyli)
lumbar trunks
intestinal trunk
left jugular and left subclavian trunks, and sometimes by the left bronchomediastinal trunk
right lymphatic duct (ductus lymphaticus dexter)

Gray's page #692

right jugular trunk
right subclavian trunk
right bronchomediastinal trunk

The lymphatics of the head, face, and neck (Gray's s177)

Gray's page #692

The Lymph Glands of the Head
- occipital glands (lymphoglandulæ occipitales)

Gray's page #693

The Lymph Glands of the Head
- posterior auricular glands (lymphoglandulæ auriculares; mastoid glands)
- anterior auricular glands (lymphoglandulæ auriculares anteriores; superficial parotid or preauricular glands)
- parotid glands (lymphoglandulæ parotideæ)

Gray's page #694

The Lymph Glands of the Head
- facial glands
  - infraorbital or maxillary
  - buccinator
  - supramandibular
- deep facial glands (lymphoglandulæ faciales profunda; internal maxillary glands)
- lingual glands (lymphoglandulæ linguales)
- retropharyngeal glands

Lymphatic vessels of the scalp
Lymphatic vessels of the auricula and external acoustic meatus

Gray's page #695

Lymphatic vessels of the face
Lymphatic vessels of the nasal cavities

Lymphatic vessels of the mouth
- Lymphatic vessels of the palatine tonsil

Gray's page #696

Lymphatic vessels of the mouth
- Lymphatic vessels of the tongue
  - principal gland of the tongue

Gray's page #697

Lymph glands of the neck
- submaxillary glands (lymphoglandulæ submaxillares)
  - middle gland of Stahr
- submental glands or suprahyoid glands
- superficial cervical glands (lymphoglandulæ cervicales superficiales)
- anterior cervical glands
- deep cervical glands (lymphoglandulæ cervicales profundæ)

Gray's page #698

Lymph glands of the neck
- deep cervical glands (lymphoglandulæ cervicales profundæ)
  - jugular trunk
- Lymphatic vessels of the skin and muscles of the neck

The lymphatics of the upper extremity (Gray's s178)

Gray's page #699

superficial and deep
- superficial lymph glands
  - supratrochlear glands
  - deltoideopectoral glands
- deep lymph glands
Axillary glands (lymphoglandulæ axillares)
- lateral group

Gray's page #700

Axillary glands (lymphoglandulæ axillares)
- anterior or pectoral group
- posterior or subscapular group
- central or intermediate group
- medial or subclavicular group
  - subclavian trunk
Lymphatic Vessels of the Upper extremity
- superficial lymphatic vessels

Gray's page #701

Lymphatic Vessels of the Upper extremity
- deep lymphatic vessels

The lymphatics of the lower extremity (Gray's s179)

Gray's page #701

The Lymph Glands of the Lower Extremity
- anterior tibial gland (lymphoglandula tibialis anterior)
- popliteal glands (lymphoglandulæ popliteæ)

Gray's page #702

The Lymph Glands of the Lower Extremity
- inguinal glands (lymphoglandulæ inguinales)
  - subinguinal glands
  - Superficial inguinal glands
  - Superficial subinguinal glands (lymphoglandulæ subinguinales superficiales)
  - Deep subinguinal glands (lymphoglandulæ subinguinales profundæ)

Gray's page #703

The Lymph Glands of the Lower Extremity
- inguinal glands (lymphoglandulæ inguinales)
  - gland of Cloquet or Rosenmüller

Lymphatic vessels of the Lower extremity
- superficial lymphatic vessels
- deep lymphatic vessels

The lymphatics of the abdomen and pelvis (Gray's s180)

Parietal glands

Gray's page #703

External iliac glands

Gray's page #704

Common iliac glands
Epigastric glands (lymphoglandulæ epigastricæ)
Iliac circumflex glands
Hypogastric glands (lymphoglandulæ hypogastricæ; internal iliac gland)
obturator gland
Sacral glands

Gray's page #705

Lumbar glands (lymphoglandulæ lumbales)
- right lateral aortic glands
- left lateral aortic glands
- right and left lumbar trunks
- preaortic glands
- celiac, superior mesenteric, and inferior mesenteric groups
- intestinal trunk
- retroaortic glands

Gray's page #706

Lymphatic vessels of the Abdomen and Pelvis
Lymphatic vessels of the Perineum and External genitals

Visceral glands

celiac glands
- Gastric glands
  - Superior gastric glands (lymphoglandulæ gastricæ superiores)
  - Inferior gastric glands (lymphoglandulæ gastricæ inferiores; right gastroepiploic gland)
- Hepatic glands (lymphoglandulæ hepaticæ)
  - hepatic
  - cystic gland
  - subpyloric
- Pancreaticolienal glands (lymphoglandulæ pancreaticolienales; splenic glands)

Gray's page #709

superior mesenteric glands
- Mesenteric glands (lymphoglandulæ mesentericæ)
- Ileocolic glands
  - ileal
  - anterior ileocolic
  - posterior ileocolic
  - right colic
- Mesocolic glands (lymphoglandulæ mesocolicæ)

The lymphatic vessels of the thorax (Gray's s181)

Gray's page #715

parietal lymph glands
- Sternal glands (lymphoglandulæ sternales; internal mammary glands)
- Intercostal glands (lymphoglandulæ intercostales)
- Diaphragmatic glands
  - anterior set
  - middle set
  - posterior set
- superficial lymphatic vessels of the thoracic wall
- Lymphatic vessels of the Mamma

Gray's page #716

parietal lymph glands
- deep lymphatic vessels of the thoracic wall

Gray's page #717

parietal lymph glands
- Lymphatic vessels of the diaphragm
visceral lymph glands
- Anterior mediastinal glands (lymphoglandulæ mediastinales anteriores)
- Posterior mediastinal glands (lymphoglandulæ mediastinales posteriores)
- Tracheobronchial glands
  - tracheal
  - bronchial
  - bronchopulmonary
  - pulmonary
  - right and left bronchomediastinal trunks

Gray's page #718

visceral lymph glands
- Lymphatic vessels of the thoracic viscera
  - Lymphatic vessels of the Heart
  - Lymphatic vessels of the Lungs

Gray's page #719

visceral lymph glands
- Lymphatic vessels of the thoracic viscera
  - Lymphatic vessels of the Pleura
  - Lymphatic vessels of the Thymus
  - Lymphatic vessels of the Esophagus

Spleen (process blood)	structural: Hilum · Trabeculae · Diaphragmatic surface of spleen · Visceral surface of spleen Red pulp (Cords of Billroth, Marginal zone) White pulp (Periarteriolar lymphoid sheaths, Germinal center) blood flow: Trabecular arteries · Trabecular veins

Tonsils/Waldeyer's tonsillar ring	Palatine · Lingual · Pharyngeal · Tubal Tonsillar crypts

Lymph nodes (process extracellular fluid)	lymph flow: Afferent lymph vessels · Cortical sinuses · Medullary sinuses · Efferent lymph vessels T cells: High endothelial venules B cells: Primary follicle/Germinal center · Mantle zone · Marginal zone layers: Capsule/Trabeculae · Subcapsular sinus · Cortex · Paracortex · Medulla (Medullary cord) · Hilum

MALT (process mucosa)	GALT · Peyer's patch · Germinal center

M: LMO

anat(h, u, t, a, l)/phys/devp

noco/cong/tumr

proc

Lymphatic system - Lymphatic trunks and ducts (TA A12.4.01, GA 8.690)

Path details

... Blood → Interstitial fluid → Lymph →

Lymph capillary → Afferent lymph vessel (Lymphatic vessel) → Lymph node → Efferent lymph vessel (Lymphatic vessel) →

Lymph trunk (Subclavian lymph trunk • Jugular lymph trunk • Bronchomediastinal lymph trunk • Intestinal lymph trunk → Cisterna chyli • Lumbar lymph trunk → Cisterna chyli) → Lymph duct {Right lymphatic duct and Thoracic duct (left side)} →

Subclavian vein (right and left) → Blood ...

Other concepts

Lymphangion

M: VAS

anat(a:h/u/t/a/l,v:h/u/t/a/l)/phys/devp/cell/prot

noco/syva/cong/lyvd/tumr, sysi/epon, injr

proc, drug(C2s+n/3/4/5/7/8/9)

M: LMO

anat(h, u, t, a, l)/phys/devp

noco/cong/tumr

proc

Lymphatics of head and neck (TA A13.3.00, GA 8.692)

Head

Posterior	Occipital · Mastoid/retroauricular Parotid: Superficial · Deep (Preauricular, Infra-auricular, Intraglandular)

Anterior	Facial (Buccinator, Nasolabial) · Mandibular Submandibular · Submental

Neck/Cervical

Superficial cervical: Superficial anterior cervical · Superficial lateral cervical

Deep cervical: Deep anterior cervical (Pretracheal, Paratracheal, Prelaryngeal, Thyroid) · Deep lateral cervical (Superior deep cervical, Inferior deep cervical, Retropharyngeal, Jugulodigastric, Jugulo-omohyoid)

Anterior cervical · Lateral cervical

Supraclavicular (Virchow's)
Jugular trunk

M: LMO

anat(h, u, t, a, l)/phys/devp

noco/cong/tumr

proc

Lymphatics of upper limbs (TA A13.3.01, GA 8.699)

Axillary

brachial · pectoral axillary · subscapular axillary · central · apical
subclavian trunk

Other

supratrochlear · deltopectoral

M: LMO

anat(h, u, t, a, l)/phys/devp

noco/cong/tumr

proc

Lymphatics of thorax / Thoracic lymph nodes (TA A13.3.02, GA 8.715)

Chest

parietal: Parasternal · Intercostal · Superior diaphragmatic

visceral: Tracheobronchial (Superior tracheobronchial nodes · Inferior tracheobronchial nodes · Bronchopulmonary nodes · Paratracheal lymph nodes, Intrapulmonary nodes)

Right lymphatic duct · Thoracic duct · Bronchomediastinal lymph trunk

M: LMO

anat(h, u, t, a, l)/phys/devp

noco/cong/tumr

proc

Lymphatics of abdomen (TA A13.3.03–04, GA 8.703)

Abdomen

Parietal/ Lumbar trunk	lumbar/paraaortic: Retroaortic · Lateral aortic

Visceral/ Intestinal trunk	preaortic: Celiac (Gastric, Hepatic, Splenic) · Superior mesenteric (Mesenteric, Ileocolic, Mesocolic) · Inferior mesenteric (Pararectal)

Other	Cisterna chyli Retroperitoneal lymph nodes