Gastric lymph node stations

The lymph nodes of stomach is classified into 16 groups proposed by the Japanese Research Society for Gastric Cancer in 1963.

Station 1  :-  Right Cardia Lymph nodes

Station 2  :-  Left Cardia Lymph nodes

Station 3  :-  Lymph nodes along the lesser curvature

Station 4  :-  Lymph nodes along the greater curvature

            4sa :- Lymph nodes along the short gastric vessels

            4sb :- Lymph nodes along the left gastroepiploic vessels

            4d   :- Lymph nodes along the right gastroepiploic vessels

Station 5  :-  Suprapyloric group of Lymph nodes or Lymph nodes along the right                          gastric artery

Station 6  :-  Infrapyloric groups of lymph nodes

Station 7  :-  Lymph nodes along the left gastric artery

Station 8  :-  Lymph nodes along the common hepatic artery

Station 9  :-  Lymph nodes around the celiac artery

Station 10 :-  Lymph nodes at the splenic hilus

Station 11 :-  Lymph nodes along the splenic artery

Station 12 :-  Lymph nodes in the hepatoduodenal ligament

Station 13 :-  Lymph nodes behind the pancreatic head

Station 14 :-  Lymph nodes at the root of the mesentery or the Superior                                   mesenteric artery

Station 15 :-  Lymph nodes along the middle colic artery

Station 16 :-  Para-aortic group of Lymph nodes

The areas of stomach which drains to regional lymph nodes:-

1. Cardia and proximal lesser curvatures drains into left gastric lymph nodes and then into celiac nodes.

2. Pylorus and the distal lesser curvature drains into the right gastric lymph             nodes

3. Proximal part of greater curvature drains into the pancreaticosplenic nodes in       the splenic hilum

4. Distal part of greater curvature drains into the right gastroepiploic nodes and         the pyloric nodes at the head of the pancreas