Kaneko Y
First Department of Surgery, Tokyo Medical and Dental University, Faculty of Medicine, Japan.
Nihon Geka Gakkai Zasshi. 1989 May;90(5):767-79.
In order to develop a more clear classification of the lymph nodes associated with the mammary area, detailed dissection of both sides of three cadavers was performed both by naked eye and using a stereomicroscope in our anatomical laboratory. Based on the findings, the following classification is proposed: 1 Axillary nodes. Main group: 1) External mammary nodes along the lateral thoracic vessels, 2) Scapular nodes along the subscapular vessels, 3) Brachial vein nodes, 4) Axillary vein nodes, 5) Interpectoral nodes along the pectoral branches of the thoracoacromial vessels between the major and minor pectoral muscles (subtype: Interpectoral nodes close to the origin of the thoracoacromial artery), 6) Central group in the center of the axilla, and 7) Infraclavicular group located along the axillary and subclavicular veins medial to the pectoral branches of the thoracoacromial vessels. Accessory group: 1) Paramammary group in the subcutaneous tissues near the lateral margin of the mammary gland, 2) Deltopectoral nodes in the deltopectoral groove, and 3) Lymph nodes behind the clavicular part of the pectoralis major. II. Supraclavicular nodes between the subclavian vein and the omohyoid . III. Internal mammary nodes along the internal thoracic vessels.
为了对与乳腺区域相关的淋巴结进行更清晰的分类，我们在解剖实验室对三具尸体的双侧进行了详细的肉眼解剖和使用体视显微镜的解剖。基于这些发现，提出以下分类：一、腋窝淋巴结。主要组：1）沿胸外侧血管的乳腺外侧淋巴结，2）沿肩胛下血管的肩胛下淋巴结，3）肱静脉淋巴结，4）腋静脉淋巴结，5）位于胸大肌和胸小肌之间的胸肩峰血管胸肌支的胸肌间淋巴结（亚型：靠近胸肩峰动脉起点的胸肌间淋巴结），6）腋窝中央组，7）位于胸肩峰血管胸肌支内侧的腋静脉和锁骨下静脉沿线的锁骨下组。附属组：1）乳腺外侧缘附近皮下组织中的乳腺旁组，2）三角肌胸大肌沟中的三角肌胸大肌淋巴结，3）胸大肌锁骨部后方的淋巴结。二、锁骨下静脉和肩胛舌骨肌之间的锁骨上淋巴结。三、沿胸廓内血管的胸骨旁淋巴结。
