| Inguinal lymph nodes | |
| Latin: | nodi lymphoidei inguinales superficiales |
| Width: | 120 |
| Drainsfrom: | Most of perineal region |
| Drainsto: | Abdominal region of lymph nodes |
Inguinal lymph nodes are lymph nodes in the groin. They are situated in the femoral triangle of the inguinal region. They are subdivided into two groups: the superficial inguinal lymph nodes and deep inguinal lymph nodes.
The superficial inguinal lymph nodes are the inguinal lymph nodes that form a chain immediately inferior to the inguinal ligament. They lie deep to the fascia of Camper that overlies the femoral vessels at the medial aspect of the thigh. They are bounded superiorly by the inguinal ligament in the femoral triangle, laterally by the border of the sartorius muscle, and medially by the adductor longus muscle.
There are approximately 10 superficial lymph nodes. They normally measure up to 2 cm in diameter.[1]
They are divided into three groups:
They may receive lymphatic afferents from the following as applicable:
They drain to the deep inguinal lymph nodes.
The deep inguinal lymph nodes are 3-5 in number. They lie medial to the femoral vein deep to the cribriform fascia.[3]
The mean size of an inguinal lymph node, as measured over the short-axis, is approximately 5.4 mm (range 2.1-13.6 mm), with two standard deviations above the mean being 8.8 mm.[4] A size of up to 10 mm is generally regarded as a cut-off value for normal vs abnormal inguinal lymph node size.[5]
The superior-most node is situated in the groin, deep to the inguinal ligament, and is termed the Cloquet's node (also Rosenmuller's node).[6] It can instead be considered as the inferior-most of the external iliac lymph nodes.[7] Cloquet's node is also considered as a potential sentinel lymph node.[8]
This node is named for French surgeon Jules Germain Cloquet, or for German anatomist Johann Christian Rosenmüller.[9] [10]
The deep inguinal lymph nodes drain superiorly to the external iliac lymph nodes, then to the pelvic lymph nodes and on to the paraaortic lymph nodes.[11]
The presence of swollen inguinal lymph nodes is an important clinical sign because lymphadenopathy (swelling) may indicate an infection, or spread as a metastasis from cancers, such as anal cancer and vulvar cancer. Inguinal lymph nodes may normally be up to 2 cm.[1] The cut-off value for normal sized inguinal nodes is up to 10 mm.[5]