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Additional Lymph Node Chains
Head & Neck (1) | Head & Neck (2) | Breast & Arm | Thorax (1) | Thorax (2) | Thorax (3) | Abdomen (1) | Abdomen (2) | Abdomen (3) | Pelvis (1) | Pelvis (2) | Lower Extremity | Additional Lymph Node Chains Not Shown |

Additional Lymph Nodes Chains Not Shown in Illustration

Anorectal
Common bile duct
Delphian
Gastrohepatic
Gastropancreatic
Infundibulopelvic
Middle hemorrhoidal
Pancreaticolienal
Pelvic, NOS
Pericholedochal
Periduodenal
Renal hilar
Suprahyoid

Lymph nodes appropriate to the primary site: bone, soft tissues, skin carcinoma, skin melanoma, sarcoma

No regional lymph nodes: brain, spinal cord, bone marrow, cartilage

Directional Terminology: peri = para; posterior = retro; anterior = pre; sub = infra

Visceral: adjacent to an organ, or central within a body cavity
Examples of visceral lymph chains: mediastinal, hilar, gastric, hepatic, mesenteric

Parietal: near the walls of a body cavity
Examples of parietal lymph chains: internal mammary, phrenic, aortic, iliac

Supraclavicular nodes: transverse cervical chain with lowest nodes of
upper deep jugular and spinal accessory chains; also called scalene Retroperitoneal nodes: para-aortic, iliac and sacral lymph chains.