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The left supraclavicular nodes are the classical Virchow's node because they receive lymphatic drainage of most of the body (from the thoracic duct) and enters the venous circulation via the left subclavian vein. The metastasis may block the thoracic duct leading to regurgitation into the surrounding Virchow's nodes.
The classification of the cervical lymph nodes is generally attributed to Henri Rouvière in his 1932 publication "Anatomie des Lymphatiques de l'Homme" [6] [7] Rouviere described the cervical lymph nodes as a collar which surrounded the upper aerodigestive tract, consisting of submental, facial, submandibular, parotid, mastoid, occipital and retropharyngeal nodes, together with two chains ...
The posterior scalene, (Latin: scalenus posterior) is the smallest and most deeply seated of the scalene muscles. It arises, by two or three separate tendons, from the posterior tubercles of the transverse processes of the lower two or three cervical vertebrae, and is inserted by a thin tendon into the outer surface of the second rib, behind ...
The accessory nerve (CN XI) is particularly vulnerable to damage during lymph node biopsy. Damage results in an inability to shrug the shoulders or raise the arm above the head, particularly due to compromised trapezius muscle innervation.
The superficial lateral cervical lymph nodes are found along the course of the external jugular vein, between the inferior aspect of the parotid gland and the supraclavicular nodes. The nodes are intercalated along the course of the vessels draining the parotid nodes and the infraauricular nodes.
The anterior cervical lymph nodes are a group of nodes found on the anterior part of the neck, in front of the sternocleidomastoid muscle. These can be grouped into a deep and superficial group . The superficial group drain the superficial surfaces of the anterior neck.
The deep cervical lymph nodes are subdivided into a superior group and an inferior group. [3] [4] Alternatively, they can be divided into deep anterior cervical lymph nodes and deep lateral cervical lymph nodes. [citation needed] They can also be divided into three groups: "superior deep jugular", "middle deep jugular", and "inferior deep ...
The right lymphatic duct courses along the medial border of the anterior scalene at the root of the neck. The right lymphatic duct forms various combinations with the right subclavian vein and right internal jugular vein. [2] [3] It is approximately 1.25 cm long. [citation needed]