Applied Anatomy of Lymphatic Spread
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Applied Anatomy of Lymphatic Spread

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@UnderstandableDifferential

Questions and Answers

What is the potential pathway for malignant cells to spread from coeliac lymph nodes to supraclavicular lymph nodes?

  • Coeliac lymph nodes → cisterna chyli → retrograde lymphatic spread → left supraclavicular lymph nodes (correct)
  • Coeliac lymph nodes → hepatic artery → retrograde spread → left supraclavicular lymph nodes
  • Coeliac lymph nodes → right lymphatic duct → supraclavicular lymph nodes
  • Coeliac lymph nodes → portal vein → liver → supraclavicular lymph nodes
  • What condition may result from the retrograde spread of malignant cells from the porta hepatis?

  • Enlargement of lumbar lymph nodes
  • Cisterna chyli expansion
  • Sister Joseph nodule in the umbilicus (correct)
  • Enlargement of coeliac lymph nodes
  • Which statement describes a consequence of malignant cell spread around the hepatic artery?

  • Inhibition of lymphatic drainage
  • Formation of lymphatic cysts in the falciform ligament
  • Enlargement of lymph nodes in the porta hepatis (correct)
  • Increased blood flow to the liver
  • What is the initial site of malignant cell spread in the retrograde lymphatic pathway mentioned?

    <p>Cisterna chyli</p> Signup and view all the answers

    What term is used to describe a malignant nodule found in the umbilicus due to lymphatic spread?

    <p>Sister Joseph nodule</p> Signup and view all the answers

    Study Notes

    Lymphatic Spread of Malignant Cells

    • Coeliac lymph nodes can be a site for malignant cells to metastasize.
    • Cells can travel to the cisterna chyli, then to the thoracic duct.
    • Left supraclavicular lymph nodes, also known as Virchow's glands, can be affected through retrograde lymphatic permeation.

    Implications for Stomach & Small Intestine Cancer

    • Malignant cells may spread retrogradely from coeliac lymph nodes to lymphatics around the hepatic artery.
    • This retrograde spread can cause enlargement of lymph nodes in the porta hepatis.
    • From the porta hepatis, malignant cells may metastasize to the liver or, through lymphatics in the falciform ligament, travel around the ligamentum teres.
    • This metastasis can result in the development of a malignant nodule at the umbilicus, referred to as Sister Joseph's nodule.

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    Description

    This quiz explores the pathways of malignant cell spread through the lymphatic system, focusing on the coeliac lymph nodes and their connections to the thoracic duct and lymph nodes in the porta hepatis. Understand the significance of lymphatic permeation and its implications in anatomy and oncology.

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