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Regional lymph node stations for staging esophageal cancer

Regional lymph node stations for staging esophageal cancer
(A-C) Lymph node maps for esophageal cancer. Regional lymph node stations for staging esophageal cancer from left (A), right (B), and anterior (C).
1R: Right lower cervical paratracheal nodes, between the supraclavicular paratracheal space and apex of the lung. 1L: Left lower cervical paratracheal nodes, between the supraclavicular paratracheal space and apex of the lung. 2R: Right upper paratracheal nodes, between the intersection of the caudal margin of the brachiocephalic artery with the trachea and the apex of the lung. 2L: Left upper paratracheal nodes, between the top of the aortic arch and the apex of the lung. 4R: Right lower paratracheal nodes, between the intersection of the caudal margin of the brachiocephalic artery with the trachea and cephalic border of the azygos vein. 4L: Left lower paratracheal nodes, between the top of the aortic arch and the carina. 7: Subcarinal nodes, caudal to the carina of the trachea. 8U: Upper thoracic paraesophageal lymph nodes, from the apex of the lung to the tracheal bifurcation. 8M: Middle thoracic paraesophageal lymph nodes, from the tracheal bifurcation to the caudal margin of the inferior pulmonary vein. 8Lo: Lower thoracic paraesophageal lymph nodes, from the caudal margin of the inferior pulmonary vein to the EGJ. 9R: Pulmonary ligament nodes, within the right inferior pulmonary ligament. 9L: Pulmonary ligament nodes, within the left inferior pulmonary ligament. 15: Diaphragmatic nodes, lying on the dome of the diaphragm and adjacent to or behind its crura. 16: Paracardial nodes, immediately adjacent to the gastroesophageal junction. 17: Left gastric nodes, along the course of the left gastric artery. 18: Common hepatic nodes, immediately on the proximal common hepatic artery. 19: Splenic nodes, immediately on the proximal splenic artery. 20: Celiac nodes, at the base of the celiac artery.
EGJ: esophagogastric junction.
Used with permission of the American College of Surgeons, Chicago, Illinois. The original source for this information is the AJCC Cancer Staging Manual, Eighth Edition (2017) published by Springer International Publishing.
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