Lymph Nodes Anatomy and Structure

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Questions and Answers

What are the primary cells located in the paracortex of a lymph node?

  • T cells (correct)
  • Plasma cells
  • Macrophages
  • B lymphocytes

Which structure serves as the first point of entry for lymph into a lymph node?

  • Afferent lymphatics (correct)
  • Capsule
  • Efferent lymphatics
  • Medullary sinuses

What is the role of the medullary cords in the lymph node?

  • Contain reticular cells
  • House B lymphocytes and plasma cells (correct)
  • Present antigens to T cells
  • Filter pathogens

What ensures unidirectional flow of lymph through the lymphatics?

<p>Valves (D)</p> Signup and view all the answers

What structure do activated B cells form in response to antigen exposure?

<p>Germinal centers (D)</p> Signup and view all the answers

Which type of cells are responsible for phagocytosing foreign materials in lymph nodes?

<p>Macrophages (D)</p> Signup and view all the answers

What is formed when memory B cells differentiate after activation?

<p>Plasma cells (A)</p> Signup and view all the answers

Which lymph node structure primarily contains reticular cells and is involved in the filtration process?

<p>Medullary sinuses (B)</p> Signup and view all the answers

What dominates the nodular cortex of a lymph node?

<p>Lymphatic nodules (B)</p> Signup and view all the answers

What is the primary route for antibodies produced in the lymph nodes to enter the bloodstream?

<p>Efferent lymphatics (D)</p> Signup and view all the answers

What is the main function of lymph nodes?

<p>To act as immunological filters for lymph (C)</p> Signup and view all the answers

Which statement correctly describes the structure of lymph nodes?

<p>Lymph nodes consist of a capsule and a meshwork of reticular fibers. (B)</p> Signup and view all the answers

What are trabeculae in the context of lymph nodes?

<p>They are thin connective tissue partitions within the lymph node. (A)</p> Signup and view all the answers

Which region of the lymph node is described as containing lymphatic nodules?

<p>Outer cortex (B)</p> Signup and view all the answers

What is the significance of the subcapsular sinus in lymph nodes?

<p>It collects lymph from afferent lymphatics. (B)</p> Signup and view all the answers

What characterizes the paracortex of a lymph node?

<p>It is free of lymphatic nodules. (A)</p> Signup and view all the answers

What type of connective tissue primarily composes the capsule of a lymph node?

<p>Densely packed collagen fibers (D)</p> Signup and view all the answers

Where does the hilum of a lymph node serve in its structure?

<p>It is the area where lymphatic vessels exit and arteries enter. (B)</p> Signup and view all the answers

What is the distinguishing feature of the inner medulla of a lymph node?

<p>It is lightly staining compared to the cortex. (D)</p> Signup and view all the answers

What is the primary function of high endothelial venules (HEVs) in the paracortex?

<p>To facilitate the migration of lymphocytes from the blood (C)</p> Signup and view all the answers

Which characteristic distinguishes secondary lymphatic nodules from primary nodules?

<p>Presence of germinal centers (C)</p> Signup and view all the answers

What occurs in the medullary cords of the lymph node?

<p>Production of antibodies by plasma cells (A)</p> Signup and view all the answers

Which statement about the filtration function of lymph nodes is accurate?

<p>Lymph nodes filter harmful microorganisms and cancer cells effectively (C)</p> Signup and view all the answers

What is the primary role of the mantle zone in secondary lymphatic nodules?

<p>To provide a peripheral layer of tightly arranged B lymphocytes (D)</p> Signup and view all the answers

Which type of lymphocyte predominantly remains in the paracortex of lymph nodes?

<p>T lymphocytes (D)</p> Signup and view all the answers

What type of epithelium lines the high endothelial venules (HEVs)?

<p>Cuboidal epithelium (C)</p> Signup and view all the answers

Which statement is true regarding the flow of lymph through lymph nodes?

<p>It passes from the subcapsular sinus to the cortical sinuses before reaching medullary sinuses (C)</p> Signup and view all the answers

How much of the total lymphocytes is estimated to enter lymph nodes through high endothelial venules?

<p>90% (B)</p> Signup and view all the answers

What initiates the growth of lymph nodes in response to infection?

<p>Formation of germinal centers (D)</p> Signup and view all the answers

In what situation are lymph nodes most likely to cause painful swelling?

<p>Infection leading to enlarged lymph nodes (C)</p> Signup and view all the answers

What is the primary consequence of a malignant tumor's cancer cells detaching into the lymphatic system?

<p>They can form secondary tumors in lymph nodes (C)</p> Signup and view all the answers

What can lymph nodes do if a small number of cancer cells enter them?

<p>Utilize lymphocyte proliferation to destroy them (B)</p> Signup and view all the answers

Why is the presence of metastatic cancer cells in lymph nodes significant?

<p>It helps in determining treatment options (B)</p> Signup and view all the answers

What typically characterizes swollen lymph nodes due to infection?

<p>They are often painless and rubbery (D)</p> Signup and view all the answers

What is a common location for lymph nodes to swell during an immune response?

<p>In the neck or groin (A)</p> Signup and view all the answers

Which factor contributes to the prognosis assessment in cancer patients?

<p>The presence of metastatic cancer cells in lymph nodes (B)</p> Signup and view all the answers

What change in lymph nodes occurs when there is an increased number of cancer cells?

<p>Painless swelling and tumor formation (B)</p> Signup and view all the answers

What triggers the secondary immune response in lymph nodes?

<p>Contact with previously encountered antigens (D)</p> Signup and view all the answers

Flashcards

Capsule

The outer layer of a lymph node, protecting the internal structures.

Trabeculae

Extensions of the capsule that divide the lymph node into compartments.

Nodular cortex

A region in the lymph node containing lymphatic nodules, where B cells are found.

Paracortex

A region beneath the cortex where T cells reside, involved in their activation.

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Medulla

The inner region of the lymph node, containing medullary cords and sinuses.

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Medullary cords

Long strands of tissue in the medulla containing B lymphocytes, antibody-producing plasma cells, and other immune cells.

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Medullary sinuses

Empty spaces in the medulla lined by reticular cells and endothelium, connecting to the capsule.

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Afferent lymphatics

Lymphatic vessels carrying lymph towards the lymph node.

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Efferent lymphatics

Lymphatic vessels carrying lymph away from the lymph node.

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What is the main function of lymph nodes?

The primary function of lymph nodes is to filter the lymph, trapping harmful substances and activating immune cells.

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What are lymph nodes?

Small, bean-shaped organs located along lymphatic vessels, acting as filters for lymph.

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What is the hilum of a lymph node?

The indentation on a lymph node where arteries enter and veins/lymphatic vessels exit.

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What are afferent lymphatic vessels?

Lymphatic vessels that bring lymph into a lymph node. They enter at the convex surface.

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What is the capsule of a lymph node?

Dense connective tissue layer surrounding a lymph node, providing structural support.

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What are trabeculae in a lymph node?

Internal partitions of connective tissue extending from the capsule into the lymph node, creating compartments.

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What is the parenchyma of a lymph node?

The functional tissue of a lymph node, composed of the cortex and medulla.

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What is the cortex of a lymph node?

The outer region of a lymph node, characterized by darkly stained lymphatic nodules.

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What is the medulla of a lymph node?

The inner region of a lymph node, lighter in color, lacking lymphatic nodules.

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What is the nodular cortex?

The outer region of the lymph node cortex containing lymphatic nodules, important for B cell activation.

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What is the paracortex?

The inner region of the lymph node cortex lacking lymphatic nodules, important for T cell activation.

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Lymph nodes

Lymph nodes are small, bean-shaped organs that filter lymph fluid and house immune cells.

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Lymph node response to antigens

Antigen exposure triggers lymph node proliferation, allowing for a faster and more effective immune response.

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Swollen lymph nodes

Swollen lymph nodes are a sign of inflammation or infection, due to increased lymphocyte production and germinal center formation.

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Cancer cell spread through lymph nodes

Cancer cells can spread through the lymphatic system, reaching nearby lymph nodes.

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Lymph node defense against cancer

Lymph nodes can sometimes successfully eliminate small numbers of cancer cells.

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Metastatic tumors in lymph nodes

If cancer cells overwhelm a lymph node, they can proliferate and form secondary tumors.

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Lymph node involvement in cancer staging

The presence or absence of cancer cells in lymph nodes is crucial for determining cancer stage and prognosis.

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Metastatic cancer cells in lymph nodes

The presence of metastatic cancer cells in lymph nodes signifies advanced disease and impacts treatment options.

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Lymph node analysis for cancer prognosis

Doctors use information from lymph nodes to guide treatment plans and predict the likelihood of cancer recurrence.

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Lymph nodes role in health

Lymph nodes play a critical role in the immune system and serve as important indicators of disease progression, particularly in cancer.

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What are primary lymphatic nodules?

Primary nodules are compact masses of B lymphocytes, uniform, deeply basophilic staining, with no germinal center.

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What are secondary lymphatic nodules?

Secondary nodules exhibit a light-staining germinal center and a darkly staining peripheral region (mantle zone).

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What are HEVs?

High endothelial venules (HEVs) are specialized blood vessels lined by cuboidal epithelial cells that facilitate lymphocyte migration from the blood into the paracortex.

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Where do B and T lymphocytes go in a lymph node?

B lymphocytes migrate to the cortex, while T lymphocytes remain in the paracortex.

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What are medullary cords?

Medullary cords are irregular anastomosing cords of B lymphocytes and plasma cells in a network of reticular fibers and reticular cells.

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What are medullary sinuses?

Medullary sinuses are located between medullary cords, lined by discontinuous endothelium, and act as a final lymph filter.

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What are the main functions of lymph nodes?

Lymph nodes act as immunological filters, removing bacteria and other foreign materials from the lymph, and facilitating immune responses.

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Describe the flow of lymph through a lymph node.

Lymph flows from the afferent lymphatics through the subcapsular sinus, cortical sinuses, medullary sinuses, and finally exits through efferent lymphatics.

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Study Notes

Lymph Nodes

  • Lymph nodes are small, oval or bean-shaped bodies
  • They are interposed in the pathway of large lymphatic vessels
  • Range in size from about 1 mm to 20 mm
  • Each node has a concave contour except at an indented region on one side, the hilum
  • Afferent lymphatic vessels enter the node on the side, and efferent lymphatic vessels leave the node at the hilum
  • Each lymph node is supplied by a large number of afferent lymphatic vessels that enter the lymph node at various points along its convex surface
  • Each lymph node is covered by a connective tissue capsule
  • Trabeculae extend into the interior of the node

Parenchyma of the Lymph Nodes

  • The parenchyma of a lymph node can be divided into two regions: an outer, darkly staining cortex and an inner, lightly staining medulla
  • The cortex contains lymphatic nodules and is further divided into:
    • Nodular cortex (superficial cortex): Contains primary and secondary lymphatic nodules
    • Paracortex (deep cortex): A thymus-dependent zone (contains aggregated T lymphocytes)
  • Medulla: Contains medullary cords and medullary sinuses
    • Medullary cords: Contain B lymphocytes, plasma cells, and sometimes B memory cells.
    • Medullary sinuses: Lined by discontinuous endothelium-like simple squamous epithelium, with a meshwork of processes of the reticular cells.

Functions of Lymph Nodes

  • Filtration of lymph
  • Activation and proliferation of lymphocytes
  • The afferent lymphatics penetrate the capsule and deliver the lymph into the subcapsular sinus. Valves in the afferent lymphatics prevent flow of lymph in the reverse direction. From the subcapsular sinus, the lymph passes into cortical sinuses, which deliver the lymph to the medulla.
  • About 90% of lymphocytes enter the lymph node through the afferent lymphatics. About 10% of lymphocytes of B type move to the nodular cortex, while T lymphocytes remain in the paracortex.

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