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Gastric lymph node stations

Changed by Raymond Chieng, 7 Feb 2023
Back to revision history
Disclosures - updated 17 Aug 2022: Nothing to disclose

Updates to Article Attributes

Body was changed:

The gastric lymph node stations were originally divided into 16 groups, as proposed by the Japanese Research Society for Gastric Cancer in 1963.

Gross anatomy

The There are three major groups of lymph drainage from the stomach regions, namely, left gastric, gastroepiploic, and their drainage into regional lymphpyloric nodes4, as shown in the following:

  • cardia and proximal lesser curvature drain into left gastric lymph nodes, then into coeliac nodes4

  • pylorus and distal lesser curvature drain into the right gastric lymph nodes

  • proximal part of greater curvature drains into the pancreaticosplenic nodes in the splenic hilum4

  • distal part of greater curvature drains into the right gastroepiploic nodes and the pyloric nodes at the head of the pancreas4

Stations

  1. right cardia lymph nodes

  2. left cardia lymph nodes

  3. lymph nodes along the lesser curvature

  4. lymph nodes along the greater curvature

  5. suprapyloric group of lymph nodes or nodes along the right gastric artery

  6. infrapyloric groups of lymph nodes

  7. lymph nodes along the left gastric artery

  8. lymph nodes along the common hepatic artery

  9. lymph nodes around the celiaccoeliac artery

  10. lymph nodes at the splenic hilum

  11. lymph nodes along the splenic artery

  12. lymph nodes in the hepatoduodenal ligament

  13. lymph nodes behind the pancreatic head

  14. lymph nodes at the root of the mesentery or the superior mesenteric artery (SMA)

  15. lymph nodes along the middle colic artery

  16. para-aortic group of lymph nodes

See also

  • -<p>The <strong>gastric lymph node stations</strong> were originally divided into 16 groups, as proposed by the Japanese Research Society for Gastric Cancer in 1963.</p><h4>Gross anatomy</h4><p>The <a href="/articles/stomach">stomach</a> regions and their drainage into regional lymph nodes:</p><ul>
  • -<li>cardia and proximal lesser curvature drain into left gastric lymph nodes, then into coeliac nodes</li>
  • -<li>pylorus and distal lesser curvature drain into the right gastric lymph nodes</li>
  • -<li>proximal part of greater curvature drains into the pancreaticosplenic nodes in the splenic hilum</li>
  • -<li>distal part of greater curvature drains into the right gastroepiploic nodes and the pyloric nodes at the head of the pancreas</li>
  • +<p>The <strong>gastric lymph node stations</strong> were originally divided into 16 groups, as proposed by the Japanese Research Society for Gastric Cancer in 1963.</p><h4>Gross anatomy</h4><p>There are three major groups of lymph drainage from the stomach, namely, left gastric, gastroepiploic, and pyloric nodes <sup>4</sup>, as shown in the following:</p><ul>
  • +<li><p>cardia and proximal lesser curvature drain into left gastric lymph nodes, then into coeliac nodes <sup>4</sup></p></li>
  • +<li><p>pylorus and distal lesser curvature drain into the right gastric lymph nodes</p></li>
  • +<li><p>proximal part of greater curvature drains into the pancreaticosplenic nodes in the splenic hilum <sup>4</sup></p></li>
  • +<li><p>distal part of greater curvature drains into the right gastroepiploic nodes and the pyloric nodes at the head of the pancreas <sup>4</sup></p></li>
  • -<li>right cardia lymph nodes</li>
  • -<li>left cardia lymph nodes</li>
  • -<li>lymph nodes along the lesser curvature</li>
  • -<li>lymph nodes along the greater curvature<ul>
  • -<li>station 4sa: lymph nodes along the <a href="/articles/short-gastric-arteries">short gastric vessels</a>
  • -</li>
  • -<li>station 4sb: lymph nodes along the <a href="/articles/left-gastroepiploic-artery">left gastroepiploic vessels</a>
  • -</li>
  • -<li>station 4d: lymph nodes along the <a href="/articles/right-gastroepiploic-artery">right gastroepiploic vessels</a>
  • -</li>
  • +<li><p>right cardia lymph nodes</p></li>
  • +<li><p>left cardia lymph nodes</p></li>
  • +<li><p>lymph nodes along the lesser curvature</p></li>
  • +<li>
  • +<p>lymph nodes along the greater curvature</p>
  • +<ul>
  • +<li><p>station 4sa: lymph nodes along the <a href="/articles/short-gastric-arteries">short gastric vessels</a></p></li>
  • +<li><p>station 4sb: lymph nodes along the <a href="/articles/left-gastroepiploic-artery">left gastroepiploic vessels</a></p></li>
  • +<li><p>station 4d: lymph nodes along the <a href="/articles/right-gastroepiploic-artery">right gastroepiploic vessels</a></p></li>
  • -<li>suprapyloric group of lymph nodes or nodes along the <a href="/articles/right-gastric-artery">right gastric artery</a>
  • -</li>
  • -<li>infrapyloric groups of lymph nodes</li>
  • -<li>lymph nodes along the <a href="/articles/left-gastric-artery">left gastric artery</a>
  • -</li>
  • -<li>lymph nodes along the <a href="/articles/common-hepatic-artery">common hepatic artery</a>
  • -</li>
  • -<li>lymph nodes around the <a href="/articles/coeliac-artery">celiac artery</a>
  • -</li>
  • -<li>lymph nodes at the splenic hilum</li>
  • -<li>lymph nodes along the <a href="/articles/splenic-artery">splenic artery</a>
  • -</li>
  • -<li>lymph nodes in the <a href="/articles/hepatoduodenal-ligament">hepatoduodenal ligament</a>
  • -</li>
  • -<li>lymph nodes behind the pancreatic head</li>
  • -<li>lymph nodes at the <a href="/articles/root-of-the-mesentery">root of the mesentery</a> or the <a href="/articles/superior-mesenteric-artery">superior mesenteric artery (SMA)</a>
  • -</li>
  • -<li>lymph nodes along the <a href="/articles/middle-colic-artery">middle colic artery</a>
  • -</li>
  • -<li>para-aortic group of lymph nodes</li>
  • -</ol><h4>See also</h4><ul><li><a href="/articles/gastric-adenocarcinoma">gastric cancer</a></li></ul>
  • +<li><p>suprapyloric group of lymph nodes or nodes along the <a href="/articles/right-gastric-artery">right gastric artery</a></p></li>
  • +<li><p>infrapyloric groups of lymph nodes</p></li>
  • +<li><p>lymph nodes along the <a href="/articles/left-gastric-artery">left gastric artery</a></p></li>
  • +<li><p>lymph nodes along the <a href="/articles/common-hepatic-artery">common hepatic artery</a></p></li>
  • +<li><p>lymph nodes around the <a href="/articles/coeliac-artery">coeliac artery</a></p></li>
  • +<li><p>lymph nodes at the splenic hilum</p></li>
  • +<li><p>lymph nodes along the <a href="/articles/splenic-artery">splenic artery</a></p></li>
  • +<li><p>lymph nodes in the <a href="/articles/hepatoduodenal-ligament">hepatoduodenal ligament</a></p></li>
  • +<li><p>lymph nodes behind the pancreatic head</p></li>
  • +<li><p>lymph nodes at the <a href="/articles/root-of-the-mesentery">root of the mesentery</a> or the <a href="/articles/superior-mesenteric-artery">superior mesenteric artery (SMA)</a></p></li>
  • +<li><p>lymph nodes along the <a href="/articles/middle-colic-artery">middle colic artery</a></p></li>
  • +<li><p>para-aortic group of lymph nodes</p></li>
  • +</ol><h4>See also</h4><ul><li><p><a href="/articles/gastric-adenocarcinoma">gastric cancer</a></p></li></ul>

References changed:

  • 4. Stephanie Ryan, Michelle McNicholas, Stephen J. Eustace. Anatomy for Diagnostic Imaging. (2011) Page 207. ISBN: 9780702029714 - <a href="http://books.google.com/books?vid=ISBN9780702029714">Google Books</a>

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