Location | Lymphatic drainage | Causes |
Submandibular | Tongue, submaxillary gland, lips and mouth, conjunctivae | Infections of head, neck, sinuses, ears, eyes, scalp, pharynx |
Submental | Lower lip, floor of mouth, tip of tongue, skin of cheek | Mononucleosis syndromes, Epstein-Barr virus, cytomegalovirus, toxoplasmosiss |
Jugular | Tongue, tonsil, pinna, parotid | Pharyngitis organisms, rubella |
Posterior cervical | Scalp and neck, skin of arms and pectorals, thorax, cervical and axillary nodes | Mononucleosis syndromes, Epstein-Barr virus, tuberculosis, lymphoma, head and neck malignancy |
Suboccipital | Scalp and head | Local infection |
Postauricular | External auditory meatus, pinna, scalp | Local infection |
Preauricular | Eyelids and conjunctivae, temporal region, portions of the auricle and external ear canal | Local infection |
Right supraclavicular node | Mediastinum, lungs, esophagus | Lung, retroperitoneal, or esophageal cancer; lymphoma; bacterial or fungal infection |
Left supraclavicular node | Thorax, abdomen (via thoracic duct) | Gastrointestinal, abdominal, thoracic, or retroperitoneal cancer; lymphoma; bacterial or fungal infection |
Axillary | Arm, thoracic wall, breast | Infections, cat-scratch disease, lymphoma, breast cancer, silicone implants, brucellosis, melanoma |
Epitrochlear | Ulnar aspect of forearm and hand | Infections, lymphoma, sarcoidosis, tularemia, secondary syphilis |
Inguinal | Penis, scrotum, vulva, vagina, perineum, gluteal region, lower abdominal wall, lower anal canal | Infections of the leg or foot, STIs (eg, herpes simplex virus, gonococcal infection, syphilis, chancroid, granuloma inguinale, lymphogranuloma venereum), lymphoma, pelvic malignancy, bubonic plague |
STIs: sexually transmitted infections.
* This is a partial list and not meant to be all-inclusive.Adapted with permission from: Ferrer R. Lymphadenopathy: differential diagnosis and evaluation. Am Fam Physician 1998; 58:1313. Copyright © 1998 American Academy of Family Physicians. All rights reserved.
Updated with corrections in February, 2021.آیا می خواهید مدیلیب را به صفحه اصلی خود اضافه کنید؟