Anatomy · Lymphatic Drainage and Clinical Lymphadenopathy

The fundus of the stomach drains its lymph chiefly to which group of lymph nodes?

  • A Left gastric nodes along the left gastric artery
  • B Pancreaticosplenic nodes along the splenic artery
  • C Hepatic nodes along the hepatic artery
  • D Right gastroepiploic nodes along the right gastroepiploic artery
Correct answer: B. Pancreaticosplenic nodes along the splenic artery

Explanation

The stomach drains along its arterial supply. The fundus and upper greater curvature drain along the short gastric and left gastroepiploic vessels to the pancreaticosplenic nodes at the splenic hilum. The left gastric nodes receive drainage from the lesser curvature and cardia, while hepatic nodes receive the right gastric region. This pattern governs lymphatic spread of gastric carcinoma.

Reference: Gray's Anatomy, 42nd ed.

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