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The presence of swollen inguinal lymph nodes is an important clinical sign because lymphadenopathy (swelling) may indicate an infection, or spread as a metastasis from cancers, such as anal cancer and vulvar cancer. Inguinal lymph nodes may normally be up to 2 cm. [1] The cut-off value for normal sized inguinal nodes is up to 10 mm. [6]
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.
The medullary sinuses converge at the hilum and lymph then leaves the lymph node via the efferent lymphatic vessel towards either a more central lymph node or ultimately for drainage into a central venous subclavian blood vessel. The B cells migrate to the nodular cortex and medulla. The T cells migrate to the deep cortex.
The anocutaneous line, also called the Hilton white line or intersphincteric groove, is a boundary in the anal canal. [1]Below the anocutaneous line, lymphatic drainage is to the superficial inguinal nodes.
Inguinal lymphadenopathy causes swollen lymph nodes in the groin area. It can be a symptom of infective or neoplastic processes. It can be a symptom of infective or neoplastic processes. Infective aetiologies include Tuberculosis, HIV , non-specific or reactive lymphadenopathy to recent lower limb infection or groin infections.
A lymph node is an organized collection of lymphoid tissue, through which the lymph passes on its way back to the blood. Lymph nodes are located at intervals along the lymphatic system. Several afferent lymph vessels bring in lymph, which percolates through the substance of the lymph node, and is then drained out by an efferent lymph vessel.
It receives drainage from great saphenous vein, circumflex veins, and veins corresponding to the branches of the femoral artery here. [2] Deep inguinal lymph nodes - It lies deep to the deep fascia, medial to the upper part of the femoral vein, inside the femoral canal (medial compartment of the femoral sheath). Cloquet's node (also known as ...
In the groin, underneath the skin, there are three to five deep inguinal lymph nodes that play a role in the immune system. These can be swollen due to certain diseases, the most common one being a simple infection, and, less likely, from cancer. A chain of superficial inguinal lymph nodes drain to the deep nodes.
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