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Immunology ` Immunology—lymphoId StructureS Immunology ` Immunology—lymphoId StructureS SECTIon II 97
Lymphatic drainage associations
Lymph node cluster Area of body drained Associated pathology
Upper respiratory tract infection
Cervical, supraclavicular Head and neck Infectious mononucleosis
Kawasaki disease
Pulmonary TB
Mediastinal Trachea and esophagus
Sarcoidosis (bilateral)
1° lung cancer
Hilar Lungs Granulomatous disease
Upper limb, breast, skin above Mastitis
Axillary
umbilicus Metastasis (especially breast cancer)
Liver, stomach, spleen, pancreas,
Celiac
upper duodenum
Mesenteric lymphadenitis
Lower duodenum, jejunum, ileum, Typhoid fever
Superior mesenteric
colon to splenic flexure Ulcerative colitis
Celiac disease
Colon from splenic flexure to
Inferior mesenteric
upper rectum
Para-aortic Testes, ovaries, kidneys, uterus Metastasis
Cervix, superior bladder, and
External iliac
body of uterus
Lower rectum to anal canal (above
Internal iliac pectinate line), bladder, vagina Sexually transmitted infections
(middle third), cervix, prostate Medial foot/leg cellulitis
(superficial inguinal)
Anal canal (below pectinate line),
Superficial inguinal skin below umbilicus (except
popliteal area), scrotum, vulva
Palpable lymph node Popliteal Dorsolateral foot, posterior calf Lateral foot/leg cellulitis
Non-palpable lymph node
Right lymphatic duct drains right side of body above diaphragm into junction of the right
subclavian and internal jugular vein
Thoracic duct drains below the diaphragm and left thorax and upper limb into junction of left
subclavian and internal jugular veins (rupture of thoracic duct can cause chylothorax)
FAS1_2019_02-Immunology.indd 97 11/7/19 3:24 PM
