Inguinal lymph nodes

Last updated
Inguinal lymph nodes
Illu lymph chain12.jpg
  1. Superomedial superficial inguinal
  2. Superolateral superficial inguinal
  3. Inferior superficial inguinal
  4. Deep inguinal lymph nodes
Gray610.png
The lymph glands and lymphatic vessels of the lower extremity in males.
Details
System Lymphatic system
Drains fromMost of perineal region
Drains toAbdominal region of lymph nodes
Identifiers
Latin nodi lymphoidei inguinales superficiales
TA98 A13.3.05.002
FMA 44226
Anatomical terminology

Inguinal lymph nodes are lymph nodes in the groin. They are situated in the femoral triangle of the inguinal region. They are subdivided into two groups: the superficial inguinal lymph nodes and deep inguinal lymph nodes.

Contents

Superficial inguinal lymph nodes

The superficial inguinal lymph nodes are the inguinal lymph nodes that form a chain immediately inferior to the inguinal ligament. They lie deep to the fascia of Camper that overlies the femoral vessels at the medial aspect of the thigh. They are bounded superiorly by the inguinal ligament in the femoral triangle, laterally by the border of the sartorius muscle, and medially by the adductor longus muscle.

There are approximately 10 superficial lymph nodes. They normally measure up to 2 cm in diameter. [1]

They are divided into three groups:

Afferents

They receive lymphatic afferents from the following:

Efferents

They drain to the deep inguinal lymph nodes. [1]

Deep inguinal lymph nodes

The deep inguinal lymph nodes are 3-5 in number. They lie medial to the femoral vein deep to the cribriform fascia. [3] [4]

Size

The mean size of an inguinal lymph node, as measured over the short-axis, is approximately 5.4 mm (range 2.1-13.6 mm), with two standard deviations above the mean being 8.8 mm. [5] A size of up to 10 mm is generally regarded as a cut-off value for normal vs abnormal inguinal lymph node size. [6]

Cloquet's node

The superior-most node is situated in the groin, deep to the inguinal ligament, and is termed the Cloquet's node (also Rosenmuller's node). [7] It can instead be considered as the inferior-most of the external iliac lymph nodes. [8] [ citation needed ] Cloquet's node is also considered as a potential sentinel lymph node. [7] [9]

This node is named for French surgeon Jules Germain Cloquet, [3] [4] or for German anatomist Johann Christian Rosenmüller. [10] [11]

Efferents

The deep inguinal lymph nodes drain superiorly to the external iliac lymph nodes, then to the pelvic lymph nodes and on to the paraaortic lymph nodes. [12]

Clinical significance

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]

Additional images

Related Research Articles

<span class="mw-page-title-main">Sartorius muscle</span> Longest muscle in the human body

The sartorius muscle is the longest muscle in the human body. It is a long, thin, superficial muscle that runs down the length of the thigh in the anterior compartment.

<span class="mw-page-title-main">Femoral artery</span> Large artery in the thigh

The femoral artery is a large artery in the thigh and the main arterial supply to the thigh and leg. The femoral artery gives off the deep femoral artery and descends along the anteromedial part of the thigh in the femoral triangle. It enters and passes through the adductor canal, and becomes the popliteal artery as it passes through the adductor hiatus in the adductor magnus near the junction of the middle and distal thirds of the thigh.

<span class="mw-page-title-main">Femoral triangle</span> Anatomical region of the thigh

The femoral triangle is an anatomical region of the upper third of the thigh. It is a subfascial space which appears as a triangular depression below the inguinal ligament when the thigh is flexed, abducted and laterally rotated.

<span class="mw-page-title-main">Inguinal canal</span> Human abdominal anatomy

The inguinal canal is a passage in the anterior abdominal wall on each side of the body, which in males, convey the spermatic cords and in females, the round ligament of the uterus. The inguinal canals are larger and more prominent in males.

<span class="mw-page-title-main">Groin</span> The two creases at the junction of the torso with the thighs, on either side of the pubic area

In human anatomy, the groin, also known as the inguinal region or iliac region, is the junctional area between the torso and the thigh. The groin is at the front of the body on either side of the pubic tubercle, where the lower part of the abdominal wall meets the thigh. A fold or crease is formed at this junction known as the inguinal groove, or crease. This is also the area of the medial compartment of the thigh that contains attachments of the adductor muscles of the hip or the groin muscles. The groin is the common site for a hernia.

<span class="mw-page-title-main">Femoral vein</span> Large blood vessel in the leg

In the human body, the femoral vein is the vein that accompanies the femoral artery in the femoral sheath. It is a deep vein that begins at the adductor hiatus as the continuation of the popliteal vein. The great saphenous vein, and the deep femoral vein drain into the femoral vein in the femoral triangle when it becomes known as the common femoral vein. It ends at the inferior margin of the inguinal ligament where it becomes the external iliac vein. Its major tributaries are the deep femoral vein, and the great saphenous vein. The femoral vein contains valves.

<span class="mw-page-title-main">Popliteal fossa</span> Depression at back of knee joint

The popliteal fossa is a shallow depression located at the back of the knee joint. The bones of the popliteal fossa are the femur and the tibia. Like other flexion surfaces of large joints, it is an area where blood vessels and nerves pass relatively superficially, and with an increased number of lymph nodes.

<span class="mw-page-title-main">Lumbar plexus</span> Web of nerves in the lower spine

The lumbar plexus is a web of nerves in the lumbar region of the body which forms part of the larger lumbosacral plexus. It is formed by the divisions of the first four lumbar nerves (L1-L4) and from contributions of the subcostal nerve (T12), which is the last thoracic nerve. Additionally, the ventral rami of the fourth lumbar nerve pass communicating branches, the lumbosacral trunk, to the sacral plexus. The nerves of the lumbar plexus pass in front of the hip joint and mainly support the anterior part of the thigh.

<span class="mw-page-title-main">Lateral cutaneous nerve of thigh</span> Nerve of the thigh

The lateral cutaneous nerve of the thigh is a cutaneous nerve of the thigh. It originates from the dorsal divisions of the second and third lumbar nerves from the lumbar plexus. It passes under the inguinal ligament to reach the thigh. It supplies sensation to the skin on the lateral part of the thigh by an anterior branch and a posterior branch.

In human anatomy, the inguinal region refers to either the groin or the lower lateral regions of the abdomen. It may also refer to:

Femoral hernias occur just below the inguinal ligament, when abdominal contents pass through a naturally occurring weakness in the abdominal wall called the femoral canal. Femoral hernias are a relatively uncommon type, accounting for only 3% of all hernias. While femoral hernias can occur in both males and females, almost all develop in women due to the increased width of the female pelvis. Femoral hernias are more common in adults than in children. Those that do occur in children are more likely to be associated with a connective tissue disorder or with conditions that increase intra-abdominal pressure. Seventy percent of pediatric cases of femoral hernias occur in infants under the age of one.

<span class="mw-page-title-main">Superficial epigastric artery</span> Large blood vessel

The superficial epigastric artery arises from the front of the femoral artery about 1 cm below the inguinal ligament, and, passing through the femoral sheath and the fascia cribrosa, turns upward in front of the inguinal ligament, and ascends between the two layers of the superficial fascia of the abdominal wall nearly as far as the umbilicus.

<span class="mw-page-title-main">Femoral sheath</span> Anatomical structure of the upper thigh

The femoral sheath is a funnel-shaped downward extension of abdominal fascia within which the femoral artery and femoral vein pass between the abdomen and the thigh. The femoral sheath is subdivided by two vertical partitions to form three compartments ; the medial compartment is known as the femoral canal and contains lymphatic vessels and a lymph node, whereas the intermediate canal and the lateral canal accommodate the femoral vein and the femoral artery (respectively). Some neurovascular structures perforate the femoral sheath. Topographically, the femoral sheath is contained within the femoral triangle.

<span class="mw-page-title-main">Superficial circumflex iliac artery</span>

The superficial iliac circumflex artery, the smallest of the cutaneous branches of the femoral artery, arises close to the superficial epigastric artery, and, piercing the fascia lata, runs lateralward, parallel with the inguinal ligament, as far as the crest of the ilium.

<span class="mw-page-title-main">Superficial external pudendal artery</span>

The superficial external pudendal artery is one of the three pudendal arteries. It arises from the medial side of the femoral artery, close to the superficial epigastric artery and superficial iliac circumflex artery.

<span class="mw-page-title-main">Popliteal lymph nodes</span>

The popliteal lymph nodes, small in size and some six or seven in number, are embedded in the fat contained in the popliteal fossa, sometimes referred to as the 'knee pit'. One lies immediately beneath the popliteal fascia, near the terminal part of the small saphenous vein, and drains the region from which this vein derives its tributaries, such as superficial regions of the posterolateral aspect of the leg and the plantar aspect of the foot.

The vascular lacuna is the medial compartment beneath the inguinal ligament. It is separated from the lateral muscular lacuna by the iliopectineal arch. It gives passage to the femoral vessels, lymph vessels and lymph nodes.

<span class="mw-page-title-main">Outline of human anatomy</span> Overview of and topical guide to human anatomy

The following outline is provided as an overview of and topical guide to human anatomy:

<span class="mw-page-title-main">Pelvis</span> Lower torso of the human body

The pelvis is the lower part of the trunk, between the abdomen and the thighs, together with its embedded skeleton.

References

  1. 1 2 3 "Assessment of lymphadenopathy". BMJ Best Practice . Retrieved 2017-03-04. Last updated: Last updated: Feb 16, 2017
  2. "Superficial Inguinal Lymph Nodes -- Medical Definition". www.medilexicon.com. Archived from the original on 2016-05-12. Retrieved 2016-05-09.
  3. 1 2 synd/2657 at Who Named It?
  4. 1 2 Loukas M, El-Sedfy A, Tubbs RS, Wartman C (November 2007). "Jules Germain Cloquet (1790-1883)--drawing master and anatomist". Am Surg. 73 (11): 1169–72. PMID   18092657.
  5. Bontumasi, Nicholas; Jacobson, Jon A.; Caoili, Elaine; Brandon, Catherine; Kim, Sung Moon; Jamadar, David (2014). "Inguinal lymph nodes: size, number, and other characteristics in asymptomatic patients by CT". Surgical and Radiologic Anatomy. 36 (10): 1051–1055. doi:10.1007/s00276-014-1255-0. ISSN   0930-1038. PMID   24435023.
  6. 1 2 Maha Torabi, MD; , Suzanne L. Aquino & Mukesh G. Harisinghani (2004-09-01). "Current Concepts in Lymph Node Imaging". J Nucl Med. 45 (9): 1509–1518.
  7. 1 2 Zhu Y, Zhang SL, Ye DW, et al. (May 2009). "Prospectively packaged ilioinguinal lymphadenectomy for penile cancer: the disseminative pattern of lymph node metastasis". J. Urol. 181 (5): 2103–8. doi:10.1016/j.juro.2009.01.041. PMID   19286211.
  8. "Clinical Sidelights to Core Concepts in Anatomy". Archived from the original on 2010-02-26. Retrieved 2010-03-06.
  9. Shen P, Conforti AM, Essner R, Cochran AJ, Turner RR, Morton DL (2000). "Is the node of Cloquet the sentinel node for the iliac/obturator node group?". Cancer J. 6 (2): 93–7. PMID   11069226.
  10. "Whonamedit - dictionary of medical eponyms". www.whonamedit.com.
  11. "node of Cloquet". TheFreeDictionary.com. Retrieved 2017-09-18.
  12. "lymph nodes and nerves". www.oganatomy.org. Retrieved 2016-05-09.