Esophageal lymph node stations

Last revised by Ashesh Ishwarlal Ranchod on 16 Jul 2023

Citation, DOI, disclosures and article data

Citation:

Deng F, Ranchod A, Bell D, Esophageal lymph node stations. Reference article, Radiopaedia.org (Accessed on 20 Apr 2024) https://doi.org/10.53347/rID-70842

DOI:

https://doi.org/10.53347/rID-70842

Permalink:

https://radiopaedia.org/articles/70842

rID:

70842

Article created:

6 Sep 2019, Francis Deng ◉

Disclosures:

At the time the article was created Francis Deng had no recorded disclosures.

View Francis Deng's current disclosures

Last revised:

16 Jul 2023, Ashesh Ishwarlal Ranchod ◉

Disclosures:

At the time the article was last revised Ashesh Ishwarlal Ranchod had no financial relationships to ineligible companies to disclose.

View Ashesh Ishwarlal Ranchod's current disclosures

Revisions:

3 times, by 3 contributors - see full revision history and disclosures

Systems:

Gastrointestinal

Sections:

Anatomy

Synonyms:

Esophageal nodal stations
Regional lymph nodes for staging esophageal cancer

Esophageal lymph node stations are those nodal stations in the neck, chest, and abdomen considered regional (rather than distant) for the purpose of esophageal cancer staging. This list reflects the map provided in the 8^th edition of the American Joint Committee on Cancer (AJCC) Cancer Staging Manual ^1-3.

VI: cervical periesophageal (anterior central neck)
- from the bottom of the hyoid to the suprasternal notch, between carotid sheaths
VII: cervical periesophageal (anterior superior mediastinal)
- from the suprasternal notch to the brachiocephalic artery
1 (right [1R] and left [1L]): lower cervical paratracheal
- between the supraclavicular paratracheal space and lung apex
2 (right [2R] and left [2L]): upper paratracheal
- 2R: between the intersection of the bottom of the brachiocephalic artery with the trachea and the lung apex
- 2L: between the top of the aortic arch and the lung apex)
4 (right [4R] and left [4L]): lower paratracheal
- 4R: between the intersection of the bottom of the brachiocephalic artery with the trachea and the superior border of the azygos vein
- 4L: between top of the aortic arch and the carina
7: subcarinal
- inferior to the carina
8 (upper [8U], middle [8M], and lower [8Lo]): thoracic paraesophageal
- 8U: from the lung apex to the tracheal bifurcation
- 8M: from the trachea bifurcation to the bottom of the inferior pulmonary vein
- 8Lo: from the bottom of the inferior pulmonary vein to the gastroesophageal junction
9 (right [9R] and left [9L]): pulmonary ligament
- 9R: within the right inferior pulmonary ligament
- 9L: within the left inferior pulmonary ligament
15: diaphragmatic
- on the dome of the diaphragm or adjacent to or behind its crura
16: paracardial
- immediately adjacent to the gastroesophageal junction
17: left gastric
- along the left gastric artery
18: common hepatic
- immediately on the proximal (but not distal) common hepatic artery
19: splenic artery
- immediately on the proximal (but not distal) splenic artery
20: celiac
- at the base of the celiac artery