Upper Abdominal Region Lymph Nodes
Upper Abdominal Region Lymph Nodes
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* This chapter has been written with the contributions of Antonietta Augurio, Raffaella Basilico, and Marco D’Alessandro
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A Guide for D elineation of Lymph Nodal Clinical Target Volume in R adiation Therapy
A Guide for D elineation of Lymph Nodal Clinical Target Volume in R adiation Therapy
SCOUT VIEW OF upper abdominal region
Station
Anatomical boundaries Cranial
Caudal
Medial
Lateral
Anterior
Posterior
1
Right paracardial nodes
Plane through upper border of cardia (~T9–T10)
Plane through lower border of cardia (~T10–T11)
Cardia
Liver (superiorly), left diaphragmatic crus (inferiorly)
Liver
2
Left paracardial nodes
Plane through upper border of cardia (~T9–T10)
Plane through lower border of cardia (~T10–T11)
Cardia
Stomach
3
Nodes along the lesser curvaturea Nodes along the left gastric artery
Plane through upper limit of the Plane through lower limit of the Left lobe of liver body and fundus of the stomach body and fundus of the stomach
Lesser gastric curvature
4
Nodes along the greater gastric curvature
Plane through upper limit of the Plane through lower limit of body and fundus of the stomach body of stomach
Greater gastric curvature
Intestine and left colic (splenic) flexure
Intestine
Spleen, anterior limit of station 10
5
Suprapyloric nodes
Plane through superior border of Plane through lower limit of the the pyloric region of the stomach hepatic hilum
Fatty tissue
Ascending colon or liver (near the bed of the gallbladder)
Intestine
6
Infrapyloric nodes
Plane through upper limit of duodenum
1–1.5 cm caudal to the pylorus
Fatty tissue
Right colic (hepatic) flexure Intestine of the ascending colon or liver (near the bed of the gallbladder)
8
Nodes along the common hepatic artery Nodes in the hepatoduodenal ligament
Horizontal plane through the origin of celiac trunk
Intervertebral space T11–T12
Celiac trunk region (superiorly), pancreas (inferiorly)
Liver
9
Nodes around the celiac artery
Horizontal plane through the origin of celiac trunk
Plane passing above the origin of – the mesenteric vessels
10
Nodes at the splenic hilum
Superior limit of the vessels of splenic hilum
Lower limit of the vessels of splenic hilum
Body of stomach Spleen (superiorly), tail of pancreas (inferiorly)
11
Nodes along the splenic artery
Superior limit of splenic artery
Lower limit of splenic artery
Abdominal aorta
13
Posterior pancreaticoduodenal nodes
Plane through superior border of Plane through lower border of the head of pancreas the head of pancreas
Abdominal aorta
14
Nodes along the superior mesenteric vesselsb
Superior limit of mesenteric vessels (~interspace T11–T12)
16
Nodes around the abdominal aorta
Plane through upper limit of the celiac trunk
17
Anterior pancreaticoduodenal nodes
18
20
7
12
110 111 112
a
b
SCOUT VIEW OF upper abdominal region
Station
Anatomical boundaries Cranial
Caudal
Medial
Lateral
Anterior
Posterior
Cardia (superiorly), abdominal aorta (inferiorly)
1
Right paracardial nodes
Plane through upper bo
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