1008 



THE VASCULAE SYSTEM. 



1C 



between the brachioradialis and the 

 brachialis ; (2) another in the radial 

 sulcus. When they are present both 

 of these glands receive lymph from 

 the ligaments of the elbow-joint as 

 well as from other adjacent soft 

 parts. 



Lymphoglandulae Axillares. 1 

 The axillary lymph glands lie in the 

 region of the axilla, where they form 

 several groups, some of which are 

 practically constant, whilst others are 

 very variable. 



(a) The lateral or brachial group 

 of axillary lymph glands, 1-7, lies in 

 relation with the lateral boundary 

 of the axillary space along the line 

 of the great axillary vessels. The 

 glands receive the lymph from the 

 greater part of the upper extremity. 

 Their efferents anastomose with the 

 lymph vessels of the central glands ; 

 some terminate in the inferior deep 

 cervical glands and others pass to the 

 subclavian lymph trunk (Fig. 806). 



(6) The posterior or subscapular 

 lymph glands lie in relation with the 

 posterior wall of the axilla, along the 

 line of the subscapular vessels. Their 

 afferent s are the vessels of the lateral 

 and posterior walls of the body, above 

 the level of the umbilicus, and lymph 

 vessels from the lower and posterior 

 part of the neck. Their efferents join 

 the lateral, the central, and the infra- 

 clavicular axillary glands (Fig. 806). 



(c) The anterior or pectoral group 

 of axillary lymph glands, 2-4, lies along 

 the line of the lateral thoracic artery, 

 in the angle between the lower border 

 of the pectoralis major and theserratus 

 anterior. The glands extend from the 

 third to the sixth intercostal space, 

 sometimes in a single and sometimes 

 in a double row. Occasionally one or 

 two outlying members of this group, 

 called the paramammary glands, are 

 found on the superficial surface of the 

 pectoralis major. The afferents of the 



1 The B.N.A. axillary lymph glands are the 

 lateral glands of the axilla, but, as the other 

 groups mentioned also lie in the axillary region, 

 FIG. 807. SUPERFICIAL LYMPH VESSELS OF THE TRUNK, the general term "axillary" is used here to in- 

 AND THE LYMPH GLANDS AND VESSELS SUPERFICIAL clude a11 tne groups. 

 AND DEEP OF THE LIMBS (diagrammatic). All super- 

 ficial lymph vessels are printed black ; the deep lymph vessels throughout are coloured red. Afferent 

 vessels are represented by continuous lines ; efferent and interglandular vessels by dotted lines. 

 A.A. Anterior axillary glands. E.A. Lateral axillary glands. P.A. Posterior axillary glands. 



A.C. Superficial cubital glands. I. Superficial subinguinal glands. S.C. Superficial cubital glands. 



A.I. Superficial tibial glands. I.C. Infra-clavicular or subclavian glands. S.F. Subinguinal glands. 

 D.F. Duseep binguinal glands. P. Pubic glands. U. Urethral lymphatics. 



