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Axillary lymph nodes

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Axillary lymph nodes
Lymphatics of the mamma, and the axillary glands
2. Axillary lymphatic plexus
4. Cubital lymph nodes (not part of the lymph node drainage of the breast)
5. Superficial axillary (low axillary)
6. Deep axillary lymph nodes
7. Brachial axillary lymph nodes
8. Interpectoral axillary lymph nodes (Rotter nodes)
10. Paramammary or intramammary lymph nodes
11. Parasternal lymph nodes (internal mammary nodes)
Latin nodi lymphoidei axillares
Gray's subject #178 699
Dorlands/Elsevier n_09/12576266

The Axillary lymph nodes are of large size, vary from twenty to thirty in number, and may be arranged in the following groups:

1. A lateral group of from four to six glands lies in relation to the medial and posterior aspects of the axillary vein; the afferents of these glands drain the whole arm with the exception of that portion whose vessels accompany the cephalic vein. The efferent vessels pass partly to the central and subclavicular groups of axillary glands and partly to the inferior deep cervical glands.

2. An anterior or pectoral group consists of four or five glands along the lower border of the Pectoralis minor, in relation with the lateral thoracic artery. Their afferents drain the skin and muscles of the anterior and lateral thoracic walls, and the central and lateral parts of the namma; their efferents pass partly to the central and partly to the subclavicular groups of axillary glands.

3. A posterior or subscapular group of six or seven glands is placed along the lower margin of the posterior wall of the axilla in the course of the subscapular artery. The afferents of this group drain the skin and muscles of the lower part of the back of the neck and of the posterior thoracic wall; their efferents pass to the central group of axillary glands.

4. A central or intermediate group of three or four large glands is imbedded in the adipose tissue near the base of the axilla. Its afferents are the efferent vessels of all the preceding groups of axillary glands; its efferents pass to the subclavicular group.

5. A medial or subclavicular group of six to twelve glands is situated partly posterior to the upper portion of the Pectoralis minor and partly above the upper border of this muscle. Its only direct territorial afferents are those which accompany the cephalic vein and one which drains the upper peripheral part of the mamma, but it receives the efferents of all the other axillary glands. The efferent vessels of the subclavicular group unite to form the subclavian trunk, which opens either directly into the junction of the internal jugular and subclavian veins or into the jugular lymphatic trunk; on the left side it may end in the thoracic duct. A few efferents from the subclavicular glands usually pass to the inferior deep cervical glands.

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This article was originally based on an entry from a public domain edition of Gray's Anatomy. As such, some of the information contained herein may be outdated. Please edit the article if this is the case, and feel free to remove this notice when it is no longer relevant.

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