Gastric lymph node stations
Citation, DOI, disclosures and article data
At the time the article was created Sagar H S had no recorded disclosures.
View Sagar H S's current disclosuresAt the time the article was last revised Andrea Molinari had no financial relationships to ineligible companies to disclose.
View Andrea Molinari's current disclosures- Gastric nodes
- Gastric node
- Gastric lymph nodes
The gastric lymph node stations were originally divided into 16 groups, as proposed by the Japanese Research Society for Gastric Cancer in 1973.
Gross anatomy
There are three major groups of lymph drainage from the stomach, namely, left gastric, gastroepiploic, and pyloric nodes 4, as shown in the following:
cardia and proximal lesser curvature drain into left gastric lymph nodes, then into celiac nodes 4
pylorus and distal lesser curvature drain into the right gastric lymph nodes
proximal part of greater curvature drains into the pancreaticosplenic nodes in the splenic hilum 4
distal part of greater curvature drains into the right gastroepiploic nodes and the pyloric nodes at the head of the pancreas 4
Stations
right cardia lymph nodes
left cardia lymph nodes
lymph nodes along the lesser curvature
-
lymph nodes along the greater curvature
station 4sa: lymph nodes along the short gastric vessels
station 4sb: lymph nodes along the left gastroepiploic vessels
station 4d: lymph nodes along the right gastroepiploic vessels
suprapyloric group of lymph nodes or nodes along the right gastric artery
infrapyloric groups of lymph nodes
lymph nodes along the left gastric artery
lymph nodes along the common hepatic artery
lymph nodes around the celiac artery
lymph nodes at the splenic hilum
lymph nodes along the splenic artery
lymph nodes in the hepatoduodenal ligament
lymph nodes behind the pancreatic head
lymph nodes at the root of the mesentery or the superior mesenteric artery (SMA)
lymph nodes along the middle colic artery
para-aortic group of lymph nodes
See also
References
- 1. Kim HJ, Karpeh MS, Brennan MF. Standardization of the extent of lymphadenectomy for gastric cancer: impact on survival. (2001) Advances in surgery. 35: 203-23. Pubmed
- 2. John Robert Haaga. CT and MRI of the Whole Body. (2020) ISBN: 9780323053754
- 3. Kajitani T. The general rules for the gastric cancer study in surgery and pathology. Part I. Clinical classification. (1981) The Japanese journal of surgery. 11 (2): 127-39. doi:10.1007/BF02468883 - Pubmed
- 4. Stephanie Ryan, Michelle McNicholas, Stephen J. Eustace. Anatomy for Diagnostic Imaging. (2011) Page 207. ISBN: 9780702029714 - Google Books
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