lations of lymphatic tissue that are
n is primarily to act as filters. They
the blood and lymph. For this purpose,
noid tissue in the nodes also produces
ly occur in clusters along
the groin, the lower
Lymph nodes are small, round specialized dil
permeated by lymphatic channels. Their functio
help remove and destroy antigens that circulate in
lymph nodes contain a lot of macrophages. Lymp
antibodies and stores lymphocytes. Note: The nodes general
the connecting lymphatic vessels particularly in the armpits,
abdomen, and the sides of the neck.
Each lymph node is enclosed in a fibrous capsule with internal trabeculae
(connective tissue) supporting lymphoid tissue and lymph sinuses.
e node consists of: ; sake
os Outer (superficial) cortical region: contains separate masses of Da ee
called lymphoid follicles. Primary follicles are not responding to antigen. T ty si ~
uniformly. Secondary follicles contain lightly staining germinal centers; they
active follicles responding to antigen and are a source of DE ee ae
+ Paracortical region: is dominated by T cells. B cells enter the node from
in thi i i i ficial cortex.
this region and quickly migrate to the super! : ,
ne meialiary region: lymphoid tissue here is arranged in medullary coe
which are a source of plasma cells (they secrete antibodies). Also contains medul-
ary sinuses.
i i secondary. Lymph from a particular
Lymph nodes can be classified as primary or a aie
region drains into a primary node or regional node. Primary nos
secondary node or central node.
The thoracic duct is the main duct of the lymphatic system and is located in the
posterior mediastinum. It begins below in the abdomen as a dilated sac, the cisterna
chyli (at the level of the T12 vertebra) and ascends through the thoracic cavity in front
of the spinal column. It is the common trunk of all the lymphatic vessels of the body, and
drains the lymph from the majority of the body (legs, abdomen, left side of head, left
arm, and left thorax), Note: The right lymphatic duct drains much less of the body
lymph (only the lymph from the right arm, right thorax, and right side of the head).
Important: The thoracic duct is approximately 40 cm long and transports lymph from
the entire lower half of the body and left upper quadrant. It empties into the left venous
angle between the ieft internal jugular vein and the left subclavian vein (which is
actually the beginning of the left brachiocephalic vein). The right lymphatic duct is
approximately | cm long and collects lymph from the right upper quadrant of the body
and empties into the right venous angle at the junction of the right internal jugular vein
with the right subclavian vein (which is actually the beginning of the right
brachiocephalic vein).
the right side of the descending aorta.
2. The thoracic duct contains valves and ascends between the aorta and the
azygos vein in the thorax.
3. The intercostal lymphatic vessels transport lymph from the left and right
intercostal snaces to the thoracic duct.
/ 1. The thoracic duct ascends through the aortic opening in the diaphragm, on
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