Hematology and Oncology Book

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Regional LymphadenopathyAka: Inguinal Lymphadenopathy, Axillary Lymphadenopathy, Epitrochlear Lymphadenopathy, Supraclavicular Lymphadenopathy

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  1. See Also
    1. Lymphadenopathy
    2. Lymphadenopathy Causes
    3. Lymphadenopathy in the Febrile Returning Traveler
    4. Lymphadenopathy of the Head and Neck
    5. Hilar Adenopathy
  2. Right Supraclavicular Nodes
    1. Drainage Patterns
      1. Mediastinum
      2. Lungs
      3. Esophagus
    2. Lymphadenopathy Causes
      1. Lung Cancer
      2. Gastrointestinal cancer
      3. Cancer of the retroperitoneum
  3. Left Supraclavicular Nodes
    1. Drainage Patterns
      1. Thorax
      2. Abdomen (Thoracic duct drainage)
    2. Lymphadenopathy Causes (See Virchow's Node)
      1. Lymphoma
      2. Cancer of the thorax
      3. Cancer of the retroperitoneum
      4. Bacterial infection
      5. Fungal infection
  4. Axillary Nodes
    1. Drainage Patterns
      1. Arm
      2. Thoracic wall
      3. Breast
    2. Lymphadenopathy Causes
      1. Miscellaneous infectious causes
      2. Cat Scratch Disease
      3. Lymphoma
      4. Breast Cancer
      5. Silicone Breast Implants
      6. Brucellosis
      7. Melanoma
  5. Epitrochlear Nodes (proximal to elbow medial epicondyle)
    1. Drainage Patterns
      1. Ulnar forearm
      2. Ulnar hand
      3. Pinky and ring finger
    2. Lymphadenopathy Causes
      1. Miscellaneous infectious causes
      2. Lymphoma
      3. Sarcoidosis
      4. Tularemia
      5. Secondary Syphilis
  6. Inguinal Nodes
    1. Drainage Patterns
      1. Horizontal Group (along inguinal ligament)
        1. Skin of lower anterior abdominal wall
        2. Retroperitoneal drainage
        3. Penis and scrotum
        4. Vulva and vagina
        5. Gluteal region
        6. Lower anal canal
        7. Perineum
      2. Vertical Group (along upper great saphenous vein)
        1. Penis and scrotum
        2. Gluteal region
        3. Lower limb drainage
    2. Lymphadenopathy Causes
      1. Infections of the leg and foot
      2. Lymphoma
      3. Pelvic malignancy
      4. Bubonic Plague
      5. Tuberculosis
      6. Sexually Transmitted Diseases
        1. Herpes Simplex Virus
        2. Gonorrhea
        3. Syphilis
        4. Chancroid
        5. Granuloma inguinale
        6. Lymphogranuloma venereum
    3. Non-Causes
      1. Testicular Cancer metastasizes to para-aortic nodes
  7. References
    1. Degowin (1987) Diagnostic Exam, Macmillan, p. 467
    2. Dornbland (1992) Adult Ambulatory Care, p. 662-7
    3. Lee (1999) Wintrobe's Hematology, p. 1826-30
    4. Wilson (1991) Harrison's Internal Medicine, p. 354-6
    5. Ferrer (1998) Am Fam Physician 58(6):1313
    6. Habermann (2000) Mayo Clin Proc 75:728

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