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The axillary lymph nodes or armpit lymph nodes are lymph nodes in the human armpit.Between 20 and 49 in number, they drain lymph vessels from the lateral quadrants of the breast, the superficial lymph vessels from thin walls of the chest and the abdomen above the level of the navel, and the vessels from the upper limb.
Axillary lymphadenopathy is distinguished by an increase in volume or changes in the morphology of the axillary lymph nodes. It can be detected through palpation during a physical examination or through changes in imaging tests. On a mammogram (MMG), normal lymph nodes typically appear oval or reniform with a radiolucent center representing ...
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 mamma; their efferents pass partly to the central and partly to the subclavicular groups of axillary glands.
The superficial nodes are supplied by lymphatics that are present throughout the arm, but are particularly rich on the palm and flexor aspects of the digits. Superficial lymph nodes of the arm: Supratrochlear nodes: Situated above the medial epicondyle of the humerus , medial to the basilic vein , they drain the C7 and C8 dermatomes .
Axillary lymph nodes may be normal up to 30 mm if consisting largely of fat. [36] In children, a short axis of 8 mm can be used. [37] However, inguinal lymph nodes of up to 15 mm and cervical lymph nodes of up to 20 mm are generally normal in children up to age 8–12. [38]
The substance of a lymph node is divided into the outer cortex and the inner medulla. [4] The cortex of a lymph node is the outer portion of the node, underneath the capsule and the subcapsular sinus. [17] It has an outer part and a deeper part known as the paracortex. [17]
Axillary lymphatic plexus; Cubital lymph nodes (not part of the lymph node drainage of the breast) Superficial axillary (low axillary) Deep axillary lymph nodes; Brachial axillary lymph nodes; Interpectoral axillary lymph nodes (Rotter nodes) Paramammary or intramammary lymph nodes; Parasternal lymph nodes (internal mammary nodes)
The parasternal lymph nodes (or sternal glands) are placed at the anterior ends of the intercostal spaces, by the side of the internal thoracic artery.. They derive afferents from the mamma; from the deeper structures of the anterior abdominal wall above the level of the umbilicus; from the upper surface of the liver through a small group of glands which lie behind the xiphoid process; and ...