Abstract
The lymphatic drainage of adrenal neuroblastoma (NB) was investigated in 11 patients using intraoperative vital staining with carbon particle suspension. Carbon staining was most frequent in the nodes at the origin of the renal artery and next most frequent in the interaorticovenous nodes. The staining was characteristically noted in the paraaortic nodes and the nodes around the hemiazygos vein in cases of left adrenal NB, and in the paracaval nodes and the nodes around the azygos vein in cases of right adrenal NB. Histological evaluation confirmed a correlation with lymph node metastases and carbon staining. These findings suggest that the primary regional nodes of adrenal NB are the nodes at the origin of the renal artery, those around the hemiazygos vein in left adrenal NB, and those around the azygos vein in right adrenal NB. The secondary regional nodes are the interaorticovenous nodes, the paraaortic nodes in left adrenal NB, and the paracaval nodes in right adrenal NB. The topography of lymphatic drainage of adrenal NB should be considered in the management of this tumor.
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
