Department of Radiology, University of Missouri-Kansas City, Kansas City, MO.
Department of Radiology, Mayo Clinic, Jacksonville, FL.
AJR Am J Roentgenol. 2021 Mar;216(3):649-658. doi: 10.2214/AJR.20.23523. Epub 2020 Dec 30.
This article reviews thoracic lymphatic pathways and tributaries, discusses lymphatic anatomic variants and their clinical implications, and emphasizes common patterns of thoracic lymphadenopathy from extrapulmonary malignancies. Recognition of common patterns and pathways of thoracic lymphatic drainage can help identify the site of tumor origin and allow a more focused examination of disease extent, both of which are important for disease prognosis and management.
本文回顾了胸部的淋巴途径和支流,讨论了淋巴解剖变异及其临床意义,并强调了来自肺外恶性肿瘤的常见胸淋巴结病模式。认识到胸部淋巴引流的常见模式和途径有助于确定肿瘤起源部位,并允许更集中地检查疾病范围,这两者对于疾病预后和管理都很重要。