<p class="ql-block">1. Right cardial lymph nodes 贲门右淋巴结</p><p class="ql-block">2. Left cardial lymph nodes 贲门左淋巴结</p><p class="ql-block">3. Along the lesser curvature of the stomach 沿胃小弯淋巴结</p><p class="ql-block">4. Along the greater curvature 沿胃大弯淋巴结</p><p class="ql-block">5. Suprapyloric lymph nodes 幽门上淋巴结</p><p class="ql-block">6. Infrapyloric lymph nodes 幽门下淋巴结</p><p class="ql-block">7. Along left gastric artery 沿胃左动脉淋巴结</p><p class="ql-block">8a. In anterosuperior group along the CHA 肝总动脉前上淋巴结</p><p class="ql-block">8p. In posterior group along CHA 肝总动脉后淋巴结</p><p class="ql-block">9. Around celiac artery 腹腔干周围淋巴结</p><p class="ql-block">10. At splenic hilum 脾门淋巴结</p><p class="ql-block">11p. Along the proximal splenic artery 脾动脉近端淋巴结</p><p class="ql-block">11d. Along the distal splenic artery 脾动脉远端淋巴结</p><p class="ql-block">12a. Along the hepatic artery 沿肝动脉淋巴结</p><p class="ql-block">12p. Along the portal vein 沿门静脉淋巴结</p><p class="ql-block">12b. Along the bile duct 沿胆管淋巴结</p><p class="ql-block">13a. On the posterior aspect of the superior portion of the head of the pancreas 胰头上方后淋巴结</p><p class="ql-block">13b. Posterior aspect of the inferior portion of the head of the pancreas 胰头下方后淋巴结</p><p class="ql-block">14p. On the proximal SMA 肠系膜上动脉近端淋巴结</p><p class="ql-block">14d. Along the distal SMA 肠系膜上动脉远端淋巴结</p><p class="ql-block">15. Along the middle colic artery 沿结肠中动脉淋巴结</p><p class="ql-block">16. Around the abdominal aorta 腹主动脉旁淋巴结</p><p class="ql-block">16a1. Around the aortic hiatus of the diaphragm 膈肌主动脉裂孔周围淋巴结</p><p class="ql-block">16b1. Around abdominal aorta from the superior margin of the celiac trunk to the inferior margin of the lMA 腹主动脉周围（从腹腔干到肠系膜上动脉）淋巴结</p><p class="ql-block">16b2. Around the abdominal aorta from the superior margin of the lMA to the aortic bifurcation 腹主动脉周围（从肠系膜上动脉到腹主动脉分叉）淋巴结</p><p class="ql-block">17a. On the anterior surface of the superior portion of the head of the pancreas 在胰头上方前淋巴结</p><p class="ql-block">17b. On the anterior surface of the inferior portion of the head of the pancreas 在胰头下方前淋巴结</p><p class="ql-block">18. Along the inferior margin of the pancreas 沿胰腺下缘淋巴结</p> <p class="ql-block">通过以上淋巴结分组/区以及命名，可以发现准确定位这些淋巴结，一方面要结合疾病诊断，因为不同肿瘤，比如胃癌，胰腺癌，十二指肠癌，临床医生关注的转移以及侵犯范围不同，其次检查需要增强CT，因为血管可以显示清楚。</p><p class="ql-block">平常说的肝门区淋巴结，可能包括：</p><p class="ql-block">8a. In anterosuperior group along the CHA 肝总动脉前上淋巴结</p><p class="ql-block">8p. In posterior group along CHA 肝总动脉后淋巴结</p><p class="ql-block">12a. Along the hepatic artery 沿肝动脉淋巴结</p><p class="ql-block">12p. Along the portal vein 沿门静脉淋巴结</p><p class="ql-block">12b. Along the bile duct 沿胆管淋巴结</p> <p class="ql-block">肝胃间淋巴结（注意，这里的确没有肝胃间隙），且需要良好的胃充盈状态，可能包括：</p><p class="ql-block">3. Along the lesser curvature of the stomach 沿胃小弯淋巴结</p><p class="ql-block">7. Along left gastric artery 沿胃左动脉淋巴结</p><p class="ql-block">11p. Along the proximal splenic artery 脾动脉近端淋巴结</p> <p class="ql-block">胰腺周围淋巴结范围更加宽广，可能包括：</p><p class="ql-block">13a. On the posterior aspect of the superior portion of the head of the pancreas 胰头上方后淋巴结</p><p class="ql-block">13b. Posterior aspect of the inferior portion of the head of the pancreas 胰头下方后淋巴结</p><p class="ql-block">14p. On the proximal SMA 肠系膜上动脉近端淋巴结</p><p class="ql-block">14d. Along the distal SMA 肠系膜上动脉远端淋巴结</p><p class="ql-block">15. Along the middle colic artery 沿结肠中动脉淋巴结</p><p class="ql-block">17a. On the anterior surface of the superior portion of the head of the pancreas 在胰头上方前淋巴结</p><p class="ql-block">17b. On the anterior surface of the inferior portion of the head of the pancreas 在胰头下方前淋巴结Along the inferior margin of the pancreas 沿胰腺下缘淋巴结</p> <p class="ql-block">腹主动脉旁淋巴结，可能包括：</p><p class="ql-block">9. Around celiac artery 腹腔干周围淋巴结</p><p class="ql-block">16. Around the abdominal aorta 腹主动脉旁淋巴结</p><p class="ql-block">16a1. Around the aortic hiatus of the diaphragm 膈肌主动脉裂孔周围淋巴结</p><p class="ql-block">16b1. Around abdominal aorta from the superior margin of the celiac trunk to the inferior margin of the lMA 腹主动脉周围（从腹腔干到肠系膜上动脉）淋巴结</p><p class="ql-block">16b2. Around the abdominal aorta from the superior margin of the lMA to the aortic bifurcation 腹主动脉周围（从肠系膜上动脉到腹主动脉分叉）淋巴结</p> <p class="ql-block">扩展阅读：</p><p class="ql-block">https://radiologyassistant.nl/abdomen/pancreas/pancreas-carcinoma-1</p><p class="ql-block">https://pubs.rsna.org/doi/full/10.1148/rg.261055078</p><p class="ql-block"><a href="https://mp.weixin.qq.com/s/bSuJgAs-XcAzqB1znCgE5A" target="_blank">原文链接</a></p>