全身淋巴分区缩写对照.doc

TABLE 1. Head and Neck Lymphatic System (I) Anatomic SiteFirst Echelon Nodal GroupSubgroupCategoryAbbreviationLacrimal glandPreauricular nodesMainPAuNParotid nodesMainPG&NSubmandibular nodesMainSMaNEyelids, conjunctivaPreauricular nodesMainPAuNParotid nodesMainPG&NSubmandibular nodesMainSMaNPinnaPreauricular nodesMainPAuNParotid nodesMainPG&NMastoid nodesMainMNInternal jugular nodesUpperMainIJNuExternal auditory canalParotid nodesMainPG&NInternal jugular nodesUpperMainIJNuMiddle earPreauricular nodesMainPAuNRetropharyngeal nodesMainPsRNInternal jugular nodesUpperMainIJNuExternal noseSubmandibular nodesMainSMaNNasal cavityRetropharyngeal nodesMainPsRNInternal jugular nodesUpperMainIJNuParanasal sinusesRetropharyngeal nodesMainPsRNInternal jugular nodesUpperMainIJNuLip, upperSubmandibular nodesMainSMaNSubmental nodesAccessorySMeNPreauricular nodesAccessoryPAuNLip, lowerSubmandibular nodesMainSMaNSubmental nodesMainSMeNCheek, cutaneousSubmandibular nodesMainSMaNSubmental nodesMainSMeNParotid nodesMainPG&NBuccal mucosaSubmandibular nodesMainSMaNTongue, apexSubmental nodesMainSMeNInternal jugular nodesUpper, middleMainIJNu, mTongue, lateral and posteriorSubmandibular nodesMainSMaNInternal jugular nodesUpperMainIJNuTABLE 2. Head and Neck Lymphatic System (II) Anatomic SiteFirst Echelon Nodal GroupSubgroupCategoryAbbreviationFloor of mouthSubmental nodesMainSMeNSubmandibular nodesMainSMaNInternal jugular nodesUpper, middleMainIJNu, mLower gumSubmandibular nodesMainSMaNSubmental nodesMainSMeNInternal jugular nodesUpper, middleMainIJNu, mUpper gumSubmandibular nodesMainSMaNRetropharyngeal nodesMainPsRNHard palate, softInternal jugular nodesUpperMainIJNupalate inferiorSubmandibular nodesAccessorySMaNRetropharyngeal nodesAccessoryPsRNSoft palate, superiorRetropharyngeal nodesMainPsRNInternal jugular nodesUpperMainIJNuTonsilInternal jugular nodesUpperMainIJNuNasopharynxRetropharyngeal nodesMainPsRNInternal jugular nodesUpperMainIJNuSpinal accessory nodesMainSANPyriform fossaInternal jugular nodesUpper, middleMainIJNu, mPosterior cricoidInternal jugular nodesUpper, middleMainIJNu, mPosterior pharyngealRetropharyngeal nodesMainPsRNwall, superiorInternal jugular nodesUpperMainIJNuPosterior pharyngeal wall, inferiorInternal jugular nodesMiddleMainIJNmSupraglottic larynxInternal jugular nodesUpper, middleMainIJNu, mInfraglottic larynxInternal jugular nodesMiddle, lowerMainIJNm, lCervical pretracheal nodesCervicalMainCPNPrelaryngeal nodesMainPLNTracheaCervical pretracheal nodesCervicalMainCPNCervical paratracheal nodesCervicalMainLCP, RCPPrelaryngeal nodesAccessoryPLNThyroidCervical pretracheal nodesCervicalMainCPNCervical paratracheal nodesCervicalMainLCP, RCPInternal jugular nodesUpper, middle, lowerMainIJNu, m, lRetropharyngeal nodesAccessoryPsRNParotid glandParotid nodesMainPG&NSubmandibular nodesMainSMaNSubmandibular glandSubmandibular nodesMainSMaNInternal jugular nodesUpperMainIJNuSublingual glandSubmandibular nodesMainSMaNInternal jugular nodesUpperMainIJNuTABLE 3. Thoracic Lymphatic System Anatomic SiteFirst Echelon Nodal GroupSubgroupCategoryAbbreviationLung; RUL anteromedialRight paratracheal nodesUpper, lowerMainRUP, RLPLung; RUL posterolateral, RML, RLL superiorRight paratracheal nodes Right hilar nodes Subcarinal nodesUpper, lowerMain Main MainRUP, RLP PHNr SCNLung; RLL inferiorRight hilar nodesMainPHNrSubcarinal nodesMainSCNLung; LUL superiorLeft upper paratracheal nodesMainLUPPrevascular nodesMainPVsNAortopulmonary window nodesMainAPWNLung; LUL inferior, LLL superior, LLL middleLeft upper paratracheal nodes Prevascular nodes Aortopulmonary window nodes Left hilar nodes Subcarinal nodesMain Main Main Main MainLUP PVsN APWN PHNl SCNLung, LLL inferiorLeft hilar nodesMainPHNlSubcarinal nodesMainSCNCostal pleura,Supraclavicular nodesMainSclNsuperiorInternal jugular nodesLowerMainIJNlCostal pleura,Juxtavertebral nodesAny levelMainJVNs, m, imiddleInternal mammary nodesAny levelMainIMNs, m, iCostal pleura,Axillary nodesMainAxNinferiorJuxtavertebral nodesAny levelMainJVNs, , m, iInternal mammary nodesAny levelMainIMNs, m, iRight diaphragm,Diaphragmatic nodesRight lateralMainDNlatsubperitonealRetroaortic nodesSuprarenal, thoracicMainRANsr, tLeft diaphragm,Paraesophageal nodesInferiorMainPENisubperitonealRetroaortic nodesSuprarenal, thoracicMainRANsr, tRight and left diaphragm, subpleuralDiaphragmatic nodes Paraesophageal nodes Retroaortic nodesAnterior, lateral Inferior SuprarenalMain Main MainDNa, lat PENi RANsrBreastAxillary nodesMainAxNInternal mammary nodesAny levelMainIMNs, m, iSupraclavicular nodesAccessorySclNPectoral nodesAccessoryPecNTABLE 4. Gastrointestinal Lymphatic System (I) Anatomic SiteFirst Echelon Nodal GroupSubgroupCategoryAbbreviationGastric cardiaLeft gastric nodesJuxtacardiacMainLGNcGastric lesser cur-Left gastric nodesGastropancreaticMainLGNlcvatureLesser curvatureMainLGNlcGastric antrumHepatic nodesRight gastroepiploicMainHNrgand pylorusInfrapyloricMainHNpSuprapyloricMainHNpGreater omentumHepatic nodesRight gastroepiploicMainHNrgInfrapyloricMainHNpSuprapyloricMainHNpGastric greater curvatureSplenic nodesSuprapancreaticMainSplNsDuodenumHepatic nodesInfrapyloricMainHNpRetropyloricMainHNpPancreaticoduodenalMainHNpdSuperior mesenteric nodesPostpancreaticoduodenalMainSMNPancreasHepatic nodesInfrapyloric, suprapyloricMainHNpPancreaticoduodenalMainHNpdHepatic arteryMainHNhaSplenic nodesSuprapancreaticMainSplNsSplenic hilumMainSplNhLeft gastric nodesGastropancreaticMainLGNlcSuperior mesenteric nodesRoot of mesenteryMainSMNMiddle colicMainSMNPostpancreaticoduodenalMainSMNRight paraaortic nodesSuperiorMainRPNsLeft paraaortic nodesSuperiorMainLPNsSpleenSplenic nodesSplenic hilumMainSplNhLiverHepatic nodesGallbladder, hepatic arteryMainHNhaCeliac axis nodesMainCNLeft gastric nodesLesser curvatureMainLGNlcDiaphragmatic nodesAnterior, lateralMainDNa, latParaesophageal nodesInferiorMainPENiRenal hilum nodesMainRRH, LRHGallbladder andHepatic nodesGallbladderMainHNhacystic ductForamen of WinslowMainHNhaHepatic ductHepatic nodesForamen of WinslowMainHNhaCommon bile ductHepatic nodesForamen of WinslowMainHNhaPostpancreaticoduodenalMainHNpdTABLE 5. Gastrointestinal Lymphatic System (II) Anatomic SiteEfferent Nodal Group*SubgroupCategoryAbbreviationJejunum, ileumSuperior mesenteric nodesMainSMNCecum and appendixSuperior mesenteric nodesMainSMNAscending colonSuperior mesenteric nodesMainSMNTransverse colon, rightSuperior mesenteric nodesMainSMNTransverse colon, leftSuperior mesenteric nodesMainSMNDescending colonLeft paraaortic nodesAny levelMainLPNsr, s, m, i, LRHSuperior mesenteric nodesMainSMNSigmoid colonPreaortic nodesInferior mesentericMainPANs, mLeft paraaortic nodesSuperior, middleMainLPNs, mRectumPreaortic nodesInferior mesentericMainPANs, mInternal iliac nodesAccessoryIINSacral nodesAccessorySN* In the small and large intestine, the first echelon nodal group is represented by the juxtaintestinal (small-bowel) or paracolic (large-bowel) nodes located in the mesenteric border of the organ. Because of the mobility of these organs, the efferent nodal groups (fixed structures with reproducible location), rather than the first echelon nodal groups, are represented in the atlas.TABLE 6. Lymphatic System of the Urinary Tract Anatomic SiteFirst Echelon Nodal GroupSubgroupCategoryAbbreviationRight perirenalInteraortic nodesSuperiorMainRANstissuePreaortic nodesSuperiorAccessoryPANsLeft perirenalLeft paraaortic nodesSuperiorMainLPNstissuePreaortic nodesSuperiorAccessoryPANsRight kidneyRight renal hilum nodesMainRRHRetroaortic nodesSuperiorMainRANsLeft kidneyLeft renal hilum nodesMainLRHLeft paraaortic nodesSuperiorMainLPNsSuprarenal glandsRenal hilum nodesMainRRH, LRHParaaortic nodesSuprarenalMainLPNsr, RPNsrJuxtavertebral nodesInferiorAccessoryJVNiParaesophageal nodesInferiorAccessoryPENiUreter, superiorParaaortic nodesSuperiorMainRPNs, LPNssegmentCommon iliac nodesAccessoryCINExternal iliac nodesAny level (central, medial)AccessoryEINs, m, i(c, m)Ureter, middleParaaortic nodesMiddleMainRPNm, LPNmsegmentCommon iliac nodesMainCINUreter, inferiorCommon iliac nodesMainCINsegmentExternal iliac nodesAny level (central, medial)MainEINs, m, i(c, m)Internal iliac nodesMainIINBladderExternal iliac nodesAny level (central, medial)MainEINs, m, i(c, m)Internal iliac nodesAccessoryIINCommon iliac nodesAccessoryCINBulbomembranous urethraExternal iliac nodesMiddle, inferior (medial)MainEINm, i(m)TABLE 7. Lymphatic System of the Male Genital Organs Anatomic SiteFirst Echelon Nodal GroupSubgroupCategoryAbbreviationScrotumSuperficial inguinal nodesAny levelMainINs, i(m, l)PerineumSuperficial inguinal nodesInferior (medial)MainINi(m)Penis, skinSuperficial inguinal nodesSuperior (medial)MainINs(m)Penis, glansSuperficial inguinal nodesSuperior (medial)MainINs(m)Deep inguinal nodesMainINs, i(d)External iliac nodesInferior (medial)AccessoryEINi(m)Internal iliac nodesAccessoryIINPenis, corpora cavernosa/penile urethraSuperficial inguinal nodesSuperior (medial)MainINs(m)Right testicle/epididymisRight paraaortic nodesSuperior, middle, inferiorMainRPNs, m, iPreaortic nodesSuperior, middle, inferiorMainPANs, m, iExternal iliac nodesAny level (central)AccessoryEINs, m, i(c)Left testicle/epididymisLeft renal hilum nodesMainLRHLeft paraortic nodesSuperiorMainLPNsPreaortic nodesSuperior, middle, inferiorAccessoryPANs, m, iExternal iliac nodesAny level (central)AccessoryEINs, m, i(c)Ductus deferensExternal iliac nodesSuperior, middle (central), inferior (central, lateral)MainEINs, m(c), i(c, l)Internal iliac nodesMainIINSeminal vesiclesExternal iliac nodesAny level (medial, central)MainEINs, m, i(m, c)Internal iliac nodesMainIINProstate/prostatic urethraExternal iliac nodesAny level (central)MainEINs, m, i(c)Internal iliac nodesMainIINSacral nodesMainSNTABLE 8. Gynecologic Lymphatic System Anatomic SiteFirst Echelon Nodal GroupSubgroupCategoryAbbreviationRight ovaryRight paraaortic nodesSuperior, middle, inferiorMainRPNs, m, iExternal iliac nodesSuperior (central)AccessoryEINs(c)Left ovaryLeft renal hilumMainLRHLeft paraaortic nodesSuperiorMainLPNsPreaortic nodesSuperiorMainPANsExternal iliac nodesAny level (central)AccessoryEINs, m, i(c)Right fallopian tubeRight paraaortic nodesInferiorMainRPNiExternal iliac nodesSuperior (central)AccessoryEINs(c)Internal iliac nodesAccessoryIINLeft fallopian tubeLeft paraaortic nodesSuperiorMainLPNsExternal iliac chainSuperior (central)AccessoryEINs(c)Internal iliac nodesAccessoryIINCervix uteriExternal iliac nodesSuperior, middle (medial, central)MainEINs, m(m, c)Internal iliac nodesMainIINSacral nodesMainSNCorpus uteriRight paraaortic nodesInferiorMainRPNiPreaortic nodesMiddleMainPANmLeft paraaortic nodesMiddleMainLPNmExternal iliac nodesSuperior (central)AccessoryEINs(c)Superficial inguinal nodesSuperior (medial)AccessoryINs(m)VaginaExternal iliac nodesAny level (central, medial)MainEINs, m, i(c, m)Internal iliac nodesMainIINSacral nodesAccessorySNVulvaSuperficial inguinal nodesSuperior (medial)MainINs(m)ClitorisSuperficial inguinal nodesAny levelMainINs, i(m, l)Deep inguinal nodesMainINs, i(d)Greater vestibular glandsSuperficial inguinal nodesSuperior (medial)MainINs(m)Key Box for Abbreviations in Tables and Figures AbbreviationNodal GroupAbbreviationNodal GroupAPWNAortopulmonary window nodesPFLPyriform fossa lymphaticsATLAnterior tongue lymphaticsPG&NParotid gland and nodesAxNAxillary nodesPHNHilar nodesBTLBase tongue lymphaticsPLParametrial lymphatic plexusCINCommon iliac nodesPLNPrelaryngeal nodesCNCeliac axis nodesPPLPeriprostatic lymphatic plexusCPNCervical pretracheal nodesPRLPerirectal lymphatic plexusDNDiaphragmatic nodesPSLParanasal sinuses lymphaticsEIN External iliac nodesPsRNSuperior posterior pharyng