THE LYMPH GLANDS AND VESSELS OF THE PELVIC LIMB 703 
‘of the bowel. They receive afferent vessels from the rectum and anus, and their 
efferent vessels pass chiefly to the internal iliac glands. 
7. The anal lymph glands (Lg. anales) form a small group of three or four on 
either side of the sphincter ani externus (Figs. 578). They receive afferents from the 
anus, perineum, and tail. Their efferents go to the internal iliac glands. 
THE LYMPH GLANDS AND VESSELS OF THE THORACIC LIMB 
1. The axillary lymph glands (Lgg. axillares) (Fig. 590), some ten to twelve in 
number, are grouped on the medial face of the distal part of the teres major and the 
tendon of the latissimus dorsi at the angle of junction of the external thoracic and 
subscapular veins with the brachial (Fig. 566). Their afferents include most of the 
lymph vessels of the limb, which come directly or as efferents from the cubital glands. 
They receive also lymph vessels from the thoracic wall. The efferents accompany 
the brachial blood-vessels and end in the posterior cervical glands and the thoracic 
and right lymphatic ducts. 
2. The cubital lymph glands (Lg. cubitales), usually eight to ten in number, 
form a discoid oval group at the medial side of the distal part of the shaft of the 
humerus (Figs. 566, 590). They lie behind the biceps muscle on the brachial 
vessels and median nerve, and are covered by the deep fascia and the posterior 
superficial pectoral muscle. They receive as afferents most of the vessels from the 
limb below this point. Their efferents pass chiefly to the axillary glands, but in 
part to the prescapular glands also. 
In quite exceptional cases a lymph gland may be found on the brachial vessels about the mid- 
dle of the arm. 
veins (cephalic and accessory cephalic), and join the prescapular and prepectoral 
glands. Superficial vessels from the chest-wall and shoulder run across the latter 
to the prescapular glands. The superficial lymphatics of the pectoral region form 
a plexus which drains into the posterior cervical and prescapular glands by a number 
of vessels which accompany the cephalic vein. The deep lymph vessels of the pec- 
toral region run with the external thoracic vein to the axillary glands. 
In one subject the author observed several small glands along the posterior 
branch of the dorsal artery, under cover of the rhomboideus. 
A number of superficial lymph vessels ascend with or near the subcutaneous 
} 
THE LYMPH GLANDS AND VESSELS OF THE PELVIC LIMB 
1. The prefemoral or subiliac lymph glands (Legg. prefemorales s. subiliace) are 
situated in the fold of the groin on the anterior border of the tensor fascie late, 
about midway between the point of the hip and the patella (Figs. 575, 576, 582). 
They lie on the course of the posterior branch of the circumflex iliac artery, and 
number usually about a dozen. They receive superficial lymph vessels from the 
hip, thigh, and flank. Their efferent vessels ascend with the posterior circumflex 
iliac vein, enter the abdomen near the tuber cox, and join the external iliac lymph 
glands. 
2. The deep inguinal lymph glands (Lg. inguinales profunde) form a large 
group situated in the proximal part of the femoral canal, between the pectineus and 
sartorius muscles (Figs. 576, 582). The group is elongated and is commonly four 
or five inches (ca. 10-12 cm.) in length. They cover the femoral vessels and are 
related superficially to the inguinal ligament. They receive nearly all of the lymph 
vessels of the limb below them. Their efferent vessels ascend to the internal iliac 
glands. 
| 3. The popliteal lymph glands (Lg. poplitex), usually four to six in number, 
