Neck lymph node levels diagram
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Draw diagram with locations and sizes. Serially section from superior to inferior (keeping order in case you need to return to case and nodule/region) Identify other structures (lymph nodes, pyramidal lobe etc) Describe cut surfaces. Size (staging size cutoffs: 1 cm, 2 cm, 4 cm)
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A sentinel lymph node in which any metastatic tumour cells are identified, irrespective of how few the cells are or whether they are identified on hematoxylin and eosin (H&E) or immunostained sections, should be designated as a tumour-positive lymph node. This is unchanged from the 7th edition.
[DOCX File]Brianne Loritz BS., R.T.(T)
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, supraclavicular nodes, and levels 1-3 axillary nodes. The total dose prescribed is 5000 cGy in 25 fractions. Plus a 1000 cGy boost to the chestwall scar for 5 fractions. The treatment will be delivered with a 1 c. m bolus . on the lateral and medical tangent . every other day. This . fractionation and dose the MD
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A lateral lymph node dissection encompasses removal of these lateral lymph nodes (Fig. 9a). Rarely, the submental nodes (Level 1) are involved by metastatic thyroid cancer as well. Figure 9a. Lateral neck dissection. Note that during this procedure lymph nodes from Levels 2, 3, 4, and 5 are removed.
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LYMPH NODES. Specimen Type: RADICAL NECK DISSECTION (standard, modified, extended, regional) If specimen is received oriented please consult with PA/attending. Submit all lymph nodes. If the remainder of the specimen can be submitted in less than 5 cassettes, submit entirely. If not, submit 5 cassettes of fat. For grossly positive nodes:
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It begins as either a plexus by the confluence of several lymphatics on the posterior abdominal wall or a dilatation termed the cisterna chyli. It drains lymph from the left arm (via left subclavian), left neck and head (left jugular, left thorax, left upper abdomen (to umbilicus), both sides of the abdomen below the umbilicus and both lower limbs.
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