As of the latest update, Google Chrome and Microsoft Edge have made a breaking change to how file uploads are handled. Once your system installs this update, you will not be able to upload new images. Please use another browser until we can get it fixed.

Delphian lymph node

The Delphian (prelaryngeal/precricoid) lymph node (often shortened to Delphian node) is one of the cervical lymph node groups that comprise level VI cervical lymph nodes and is not routinely excised in radical neck dissections.

It is located between the cricothyroid muscles, above the thyroid isthmus, lying directly anterior to the cricothyroid membrane 2,3. It receives lymph from the thyroid gland (mainly the upper poles) and the larynx 3.

The Delphian node gains its name from the Oracle of Delphi, whose prophecy, in this case, would be of an unpleasant death secondary to laryngeal cancer.

Involvement of this node can be as a result of diffuse nodal involvement in head and neck squamous cell carcinoma or in isolation from direct lymphatic spread of laryngeal cancer through the anterior commissure. Thyroid carcinomas may also involve this node, in which case it usually signifies disease spread to the central and lateral cervical lymph nodes 3,4

Anatomy: Head and neck

Anatomy: Head and neck

Share article

Article information

rID: 1206
System: Head & Neck
Section: Anatomy
Synonyms or Alternate Spellings:
  • Delphian node
  • Delphian lymph node
  • Precricoid node
  • Precricoid lymph node
  • Prelaryngeal node
  • Prelaryngeal lymph node

Support Radiopaedia and see fewer ads

Cases and figures

  • Case 1: necrotic node from SCC
    Drag here to reorder.
  • Updating… Please wait.

     Unable to process the form. Check for errors and try again.

     Thank you for updating your details.