Apical lymph nodes
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An apical (or medial or subclavicular) group of six to twelve glands is situated partly posterior to the upper portion of the
Pectoralis minor Pectoralis minor muscle () is a thin, triangular muscle, situated at the upper part of the chest, beneath the pectoralis major in the human body. Structure Attachments Pectoralis minor muscle arises from the upper margins and outer surfaces ...
and partly above the upper border of this muscle. Its only direct territorial afferents are those that accompany the
cephalic vein In human anatomy, the cephalic vein is a superficial vein in the arm. It originates from the radial end of the dorsal venous network of hand, and ascends along the radial (lateral) side of the arm before emptying into the axillary vein. At the ...
, and one that drains the upper peripheral part of the
mamma Mama(s) or Mamma or Momma may refer to: Roles *Mother, a female parent *Mama-san, in Japan and East Asia, a woman in a position of authority *Mamas, a name for female associates of the Hells Angels Places *Mama, Russia, an urban-type settlement ...
. However, it receives the efferents of all the other
axillary glands The axillary lymph nodes or armpit lymph nodes are lymph nodes in the human armpit. Between 20 and 49 in number, they drain lymph vessels from the lateral quadrants of the breast, the superficial lymph vessels from thin walls of the chest and the ...
. The efferent vessels of the subclavicular group unite to form the subclavian trunk, which opens either directly into the junction of the internal jugular and
subclavian vein The subclavian vein is a paired large vein, one on either side of the body, that is responsible for draining blood from the upper extremities, allowing this blood to return to the heart. The left subclavian vein plays a key role in the absorption ...
s or into the
jugular lymphatic trunk The jugular trunk is a lymphatic vessel in the neck. It is formed by vessels that emerge from the superior deep cervical lymph nodes and unite to efferents of the inferior deep cervical lymph nodes. On the right side, this trunk ends in the juncti ...
; on the left side it may end in the
thoracic duct In human anatomy, the thoracic duct is the larger of the two lymph ducts of the lymphatic system. It is also known as the ''left lymphatic duct'', ''alimentary duct'', ''chyliferous duct'', and ''Van Hoorne's canal''. The other duct is the right ...
. A few efferents from the subclavicular glands usually pass to the
inferior deep cervical glands The inferior deep cervical lymph nodes extend beyond the posterior margin of the sternocleidomastoid muscle into the subclavian triangle, where they are closely related to the brachial plexus and subclavian vein The subclavian vein is a paired l ...
.


Additional images

Image:illu_lymph_chain03.jpg


References


External links

* () Lymphatics of the upper limb {{Portal bar, Anatomy