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Regional Lymph Nodes of Lung -- Schematic Drawing for Staging

Intrathoracic (showing AJCC Node category)

Pulmonary
12 N1 Peribronchial
11 N1 Intrapulmonic (interlobar)
10 N1 Hilar
13 N1 Segmental
Superior mediastinal
1 N2-3 Superior mediastinal
3 N2-3 Pretracheal, retrotracheal
2 N2-3 Paratracheal
4 N2-3 Lower paratracheal
4 N2-3 Azygos
Aortic
5 N2-3 Subaortic (aortic window)
6 N2-3 Para-aortic (ascending aorta or phrenic)
Inferior mediastinal
7 N2 Carinal
7 N2 Subcarinal
8 N2-3 Paraesophageal
9 N2-3 Pulmonary ligament

Extrathoracic

N3 Scalene--along scalenus muscles in the base of the neck. The individual scalene muscles are the scalenus anterior, posterior, medius, and minimus.
N3 Supraclavicular or transverse cervical.

Lymph Nodes of Lungs & Mediastinum Sagittal View of Heart

Source: Manual for Staging of Cancer, 3rd edition, American Joint Committee on Cancer. J B Lippincott Co., 1988.

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