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Lymph node stations gastric cancer

Lymph node stations gastric cancer
Station Lymph node location Associated vessel
1 Right paracardial region of stomach First branch of ascending left gastric artery
2 Left paracardial region of stomach Esophagogastric branch of left subphrenic artery
3a Lesser curvature Left gastric artery
3b Lesser curvature 2nd branch and distal part of the right gastric artery
4sa Left greater curvature Short gastrics
4sb Right greater curvature Left gastroepiploic artery
4d Right greater curvature 2nd branch and distal part of the right gastroepiploic artery
5 Suprapyloric 1st branch and proximal part of the right gastric artery
6 Infrapyloric 1st branch and proximal part of the right gastroepiploic artery
7   Left gastric artery
8a Anteriosuperior Common hepatic artery
8b Posterior Common hepatic artery
9   Celiac artery
10 Splenic hilum Splenic artery distal to pancreatic tail and at roots of short gastrics
11p Along margin of pancreas Proximal splenic artery from origin to halfway from origin to pancreatic tail
11d Along margin of pancreas Distal splenic artery from halfway from origin to pancreatic tail to end of pancreatic tail
12a Hepatoduodenal ligament Proper hepatic artery from confluence of the right and left hepatic ducts and upper border of the pancreas
12b Hepatoduodenal ligament Along bile duct caudal half the confluence of the right and left hepatic ducts and upper border of the pancreas
12p Hepatoduodenal ligament Along portal vein caudal half the confluence of the right and left hepatic ducts and upper border of the pancreas
13 Posterior surface of the head of the pancreas  
14V Root of the mesentery Superior mesenteric vein
15 Colonic Middle colic vessels
16a1 Paraaortic in diaphragmatic hiatus  
16a2 Paraaortic Upper margin of the origin of the celiac artery and lower border of the left renal vein
16b1 Paraaortic Lower border of the left renal vein and upper border of the origin of the inferior mesenteric vein
16b2 Paraaortic Between the upper border of the origin of the inferior mesenteric artery and the aortic bifurcation
17 Anterior surface of the pancreatic head beneath the pancreatic sheath  
18 Along the inferior border of the pancreatic body  
19 Infradiaphragmatic Predominantly along the subphrenic artery
20 Paraesophageal in the diaphragmatic esophageal hiatus  
110 Paraesophageal in the lower thorax  
111 Supradiaphragmatic, separate from the esophagus  
112 Posterior mediastinal, separate from the esophagus and the esophageal hiatus  
Reproduced from: Japanese Gastric Cancer Association. Japanese classification of gastric carcinoma: 3rd English edition. Gastric cancer 2011 14:101. Copyright © 2011; with kind permission from Springer Science + Business Media B.V.
Graphic 88420 Version 5.0

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