胃癌淋巴结转移ct阅片及相关知识点ppt课件.pptx

胃癌淋巴结转移CT阅片及相关知识点 汇报人: 陈开波 淋巴结分组 Company Logo NO.1－贲门右淋巴结 NO.2－贲门左淋巴结 NO.3－胃小弯淋巴结 NO.4sa－胃短血管淋巴结 NO.4sb－胃网膜左血管淋巴结 NO.4d－胃网膜右血管淋巴结 NO.5－幽门上淋巴结 NO.6－幽门下淋巴结 1 Right paracardial LNs 2 Left paracardial LNs 3 Lesser curvature LNs 4 Left greater curvature LNs 4sa short gastric arteries 4sb left gastroepiploic artery 4d 2nd branch and distal part of AGED 5 Suprapyloric LNs 6 Infrapyloric LNs Company Logo NO.7－胃左动脉淋巴结 NO.8a－肝总动脉前淋巴结 NO.8p－肝总动脉后淋巴结 NO.9－腹腔干淋巴结 NO.10－脾门淋巴结 NO.11p－脾动脉近端淋巴结 NO.11d－脾动脉远端淋巴结 NO.12a－肝十二指肠韧带内沿肝动脉淋巴结 NO.12b－肝十二指肠韧带内沿胆管淋巴结 NO.12p－肝十二指肠韧带内沿门静脉后淋巴结 NO.13－胰头后淋巴结 NO.14v－肠系膜上静脉淋巴结 NO.14a－肠系膜上动脉淋巴结 NO.15－结肠中血管淋巴结 NO.17－胰头前淋巴结 NO.18－胰腺下缘淋巴结 7 LNs along the trunk left gastric artery 8 LNs along the common hepatic artery 8a anterosuperior 8p posterior 9 Celiac artery LNs 10 Splenic hilar LNs 11 Splenic artery LNs 12 Hepatoduodenal ligament LNS 12a proper hepatic artery 12b bile duct 12p portal vein 13 LNs on the posterior surface of the pancreatic cranial to the duodenal papilla 14 LNs along the superior mesenteric vein 15 LNs along the middle colic vessels 17 LNs on the anterior surface of the pancreatic head beneath pancreatic sheath 18 LNs along the inferior border of the Company Logo NO.16a1－主动脉裂孔淋巴结 NO.16a2－腹腔干上缘至左肾静脉下缘之间腹主动周围脉淋巴结 NO.16b1－左肾静脉下缘至肠系膜下动脉上缘之间腹主动脉周围淋巴结 NO.16b2－肠系膜下动脉上缘至腹主动脉分叉之间腹主动脉周围淋巴结 NO.19－膈下淋巴结 NO.20－膈肌食管裂孔淋巴结 NO.110－下胸部食管旁淋巴结 NO.111－膈上淋巴结 NO.112－中纵膈后淋巴结 16 Paraaortic LNs 19 Infradiaphragmatic LNs predominantly along the subphrenicartery 20 Paraesophageal LNs in the diaphragmatic esophageal hiatus 110 Paraesophageal LNs in the lower thorax 111 Supradiaphragmatic LNs separate from the esophagus 112Posterior mediastinal LNs separate from the esophagus and the esophageal hiatus Company Logo NO.16a1－主动脉裂孔淋巴结 NO.16a2－腹腔干上缘至左肾静脉下缘之间腹主动周围脉淋巴结 NO.16b1－左肾静脉下缘至肠系膜下动脉上缘之间腹主动脉周围淋巴结 NO.16b2－肠系膜下动脉上缘至腹主动脉分叉之间腹主动脉周围淋巴结 16a1 diaphragmatic aortic hiatus 16a2 between the upper margin of the origin of the celiac artery and the lower border of the left re