Lymphatic Drainage

Lymphatics

The Common Vein  Copyright 2008

Introduction

All lymphatics of the uterus are in communication, the cervix drains to  sacral nodes and the body, fundus and fallopian tubes drain towards the external iliac nodes. There is some drainage towards internal iliac nodes. Lymphatics may also reach the  superficial inguinal nodes along the round ligament.

Lymmph Drainage of the Uterus

The uterus drains to the external iliac, internal iliac and common iliac chain and finally all drain into the para-aortic chain.

Courtesy Ashley Davidoff MD Copyright 2010 All rights reserved 96269b35b01d01e02L.8s

Endometrial Carcinoma Obstruction and Metastasis to Regional Nodes

61 year old female with enlarged endometrial cavity and cervical mass consistent with cervical carcinoma complicared by obstruction of the endometrial cavity. The cavity is filled with complex material probably from a combination of secretions, fluid, blood and tumor. Lymph nodes in the left paraaortic area (c, white arrow) were biopsied under CT guidance (d) and were positive for cervical cancer.

Courtesy Ashley DAvidoff copyright 2009 all rights reserved 85306c01.8s

 

References

O’Rahilly, Müller, Carpenter & Swenson Dartmouth Anatomy Text

Papanikolaou, Frank MD  Lymph Node Dissection, Pelvic Medscape