Appendix C Lymph Node/Lymph Node Chain Reference Table
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- Martina Washington
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1 Appendix C Reference Table Use this table with the Primary Site and Histology Rules to determine whether involved lymph nodes are in a single ICD-O-3 lymph node region or in multiple ICD-O-3 lymph node regions. This table contains the names of lymph nodes that have the capsule and sinus structure of true lymph nodes. Lymphoid tissue such as that in the GI tract, tonsils, etc., is not represented in this table. Note: Pathology reports may identify lymph nodes within most organs, the most common being breast, parotid gland, lung, and pancreas. The lymph nodes in these organs are called intra-(organ name) lymph nodes such as intramammary lymph nodes. We have included the most common intra-organ lymph nodes on this table. For an intraorgan lymph node not listed on the table, code to the ICD-O-3 topography code for that organ s regional lymph node chain(s). Table C1: Reference Table Abdominal C772 Intra-abdominal Mesenteric Anorectal C775 Pelvic Pelvic, right and left* Anterior axillary C773 Axilla or arm Axillary, right and left* Anterior cecal C772 Intra-abdominal Mesenteric Anterior deep cervical C770 Head, face and neck Cervical, right and left* Anterior jugular C770 Head, face and neck Cervical, right and left* Aortic NOS; ascending aortic lateral aortic; lumbar aortic; paraaortic; C772 Intra-abdominal Para-aortic peri-aortic Aortico-pulmonary window (subaortic) C772 Intra-abdominal Para-aortic Appendiceal C772 Intra-abdominal Mesenteric Ascending aortic C772 Intra-abdominal Para-aortic Aselli s glands (nodes near pancreas) C772 Intra-abdominal Para-aortic Auricular NOS; infra-auricular; pre-auricular; post-auricular; C770 Head, face and neck Cervical, right and left* retro-auricular Axillary, lateral; C773 Axilla or arm Axillary, right and left* Axillary; anterior C773 Axilla or arm Axillary, right and left* Azygos (lower paratracheal) C771 Intrathoracic Mediastinal Brachial C773 Axilla or arm Axillary, right and left* Bronchial; bronchopulmonary; hilar; proximal lobar; pulmonary C771 Intrathoracic Hilar root Bronchopulmonary C771 Intrathoracic Hilar Bronchopulmonary; bronchial hilar; proximal lobar; pulmonary C771 Intrathoracic Hilar root Buccal C770 Head, face and neck Cervical, right and left* Buccinator (facial) C770 Head, face and neck Cervical, right and left* Calot s node (cysto-hepatic triangle or hepato-biliary triangle) C772 Intra-abdominal Para-aortic Version 2.0 (May 2012) Effective with Cases Diagnosed 1/1/2012 and after 109
2 Cardiac C771 Intrathoracic Mediastinal Cardial C771 Intrathoracic Mediastinal Cardioesophageal C771 Intrathoracic Mediastinal Carinal; tracheal bifurcation; tracheobronchial C771 Intrathoracic Mediastinal Caval (para-) C772 Intra-abdominal Para-aortic Cecal; anterior cecal: posterior cecal: prececal; retrocecal, NOS C772 Intra-abdominal Mesenteric Celiac C772 Intra-abdominal Para-aortic Central compartment (paralaryngeal, prelaryngeal [Delphian]) C770 Head, face and neck Cervical, right and left* adjacent to thyroid gland. Cervical NOS, anterior deep cervical; deep cervical (scalene); C770 Head, face and neck Cervical, right and left* lower deep cervical; upper/superior cervical; lower/inferior; middle deep cervical; posterior cervical (spinal accessory); transverse cervical (supraclavicular) Cloquet s node (inguinal) C774 Inguinal region or leg Inguino-femoral, right and left* Colic NOS, ileocolic, mesocolic, middle (right) C772 Intra-abdominal Mesenteric Common bile duct C772 Intra-abdominal Para-aortic Cubital C773 Axilla or arm Axillary, right and left* Cystic duct C772 Intra-abdominal Para-aortic Deep cervical (laterotracheal) C771 Intrathoracic Cervical, right and left* Deep inguinal C774 Inguinal region or leg Inguino-femoral, right and left* Delphian node (prepharyngeal), adjacent to thyroid gland. C770 Head, face and neck Cervical, right and left* Deltopectoral C773 Axilla or arm Axillary, right and left* Diaphragmatic, sub C771 Intrathoracic Mediastinal Duodenal C772 Intra-abdominal Para-aortic Epicolic (Foramen of Winslow, omental) C772 Intra-abdominal Mesenteric Epitrochlear C773 Axilla or arm Axillary, right and left* Esophageal (para-, peri-) C771 Intrathoracic Mediastinal Facial C770 Head, face and neck Cervical, right and left* Femoral (superficial inguinal) C774 Inguinal region or leg Inguino-femoral, right and left* Foramen of Winslow (epicolic, omental) C772 Intra-abdominal Mesenteric Gastric NOS, left (superior), gastrocolic; right (inferior gastric); C772 Intra-abdominal Mesenteric Gastrocolic (Gastric) C772 Intra-abdominal Mesenteric Gastroduodenal C772 Intra-abdominal Mesenteric Gastroepiploic (gastro-omental) C772 Intra-abdominal Mesenteric Gastrohepatic C772 Intra-abdominal Mesenteric Gastro-omental (gastroepiploic) C772 Intra-abdominal Mesenteric Gastropancreatic C772 Intra-abdominal Mesenteric Gerota s node (promontorial, middle sacral) C775 Pelvic Para-aortic Greater curvature C772 Intra-abdominal Mesenteric Version 2.0 (May 2012) Effective with Cases Diagnosed 1/1/2012 and after 110
![Central compartment (paralaryngeal, prelaryngeal [Delphian]) C770 Head, face and neck Cervical, right and left* adjacent to thyroid gland.](/docs-images/46/21401678/images/page_2.jpg "Cervical NOS, anterior deep cervical; deep cervical (scalene); C770 Head, face and neck Cervical, right and left* lower deep cervical; upper/superior cervical; lower/inferior; middle deep cervical;")
3 Greater omental C772 Intra-abdominal Mesenteric Groin C774 Inguinal region or leg Inguino-femoral, right and left* Hemorrhoidal NOS; inferior; middle; superior C775 Pelvic Pelvic, right and left* Hepatic, NOS; hepatic artery; hepatic pedicle; hepatic, inferior C772 Intra-abdominal Para-aortic vena cava; porta hepatis (hilar) Hepatoduodenal ligament C772 Intra-abdominal Para-aortic Hilar (splenic) C772 Intra-abdominal Mesenteric Hilar [in hilus of liver] (porta hepatis, portal) C772 Intra-abdominal Para-aortic Hilar, bronchial C771 Intrathoracic Hilar Hilar, hepatoduodenal ligament C772 Intra-abdominal Para-aortic Hilar, pulmonary root C771 Intrathoracic Hilar Hilar; bronchopulmonary, proximal lobar, pulmonary root C771 Intrathoracic Hilar Hypogastric (internal iliac) C775 Pelvic Pelvic, right and left* Ileocolic C772 Intra-abdominal Mesenteric Iliac, common C775 Pelvic Pelvic, right and left* Iliac, external C775 Pelvic Pelvic, right and left* Iliac, internal (hypogastric, obturator) C775 Pelvic Pelvic, right and left* Inferior deep cervical (scalene) C770 Head, face and neck Cervical, right and left* Inferior deep jugular C770 Head, face and neck Cervical, right and left* Inferior gastric (right gastric) C772 Intra-abdominal Mesenteric Inferior hemhorrhoidal C775 Pelvic Pelvic, right and left* Inferior vena cava C772 Intra-abdominal Para-aortic Infra-auricular C770 Head, face and neck Cervical, right and left* Infraclavicular (subclavicular) C773 Axilla or arm Infraclavicular, right and left* Infrapyloric (subpyloric) C772 Intra-abdominal Para-aortic Inguinal C774 Inguinal region or leg Inguino-femoral, right and left* Inguinal NOS; deep, superficial (subinguinal) C774 Inguinal region or leg Inguino-femoral, right and left* Innominate (thoracic) C771 Intrathoracic Mediastinal Interaortocaval C772 Intra-abdominal Para-aortic Intercostal C771 Intrathoracic Mediastinal Interlobar (within the lung)/intrapulmonary C771 Intrathoracic Mediastinal Internal iliac (hemorrhoidal) C775 Pelvic Pelvic, right and left* Internal jugular C770 Head, face and neck Cervical, right and left* Internal mammary (parasternal) C771 Intrathoracic Mediastinal Interpectoral C773 Axilla or arm Axillary, right and left* Intestinal C772 Intra-abdominal Mesenteric Intra-abdominal C772 Intra-abdominal Mesenteric Intrabronchial, NOS C771 Intrathoracic Hilar Intramammary lymph node C773 Axilla or arm Axillary, right and left* Version 2.0 (May 2012) Effective with Cases Diagnosed 1/1/2012 and after 111
![(splenic) C772 Intra-abdominal Mesenteric Hilar [in hilus of liver] (porta hepatis, portal) C772 Intra-abdominal Para-aortic Hilar, bronchial C771 Intrathoracic Hilar Hilar, hepatoduodenal ligament](/docs-images/46/21401678/images/page_3.jpg "C772 Intra-abdominal Para-aortic Hilar, pulmonary root C771 Intrathoracic Hilar Hilar; bronchopulmonary, proximal lobar, pulmonary root C771 Intrathoracic Hilar Hypogastric (internal iliac) C775")
4 Intrapancreatic lymph node C772 Intra-abdominal Para-aortic Intraparotid C770 Head, face and neck Cervical, right and left* Intrapelvic C775 Pelvic Pelvic, right and left* Intrapulmonary (within the lung) C771 Intrathoracic Mediastinal Intrapulmonary, segmental/subsegmental C771 Intrathoracic Mediastinal Jugular, lower, mid, upper, internal C770 Head, face and neck Cervical, right and left* Jugulodigastric (subdigastric) C770 Head, face and neck Cervical, right and left* Jugulo-omohyoid (supraomohyoid) C770 Head, face and neck Cervical, right and left* Lateral aortic (lumbar) C772 Intra-abdominal Para-aortic Lateral compartment (jugular, mid and lower; supraclavicular; C770 Head, face and neck Cervical, right and left* upper deep jugular; spinal accessory; retropharyngeal; submandibular; submental)l Lateral jugular C770 Head, face and neck Cervical, right and left* Laterotracheal (anterior deep cervical) C771 Intrathoracic Cervical, right and left* Left (superior) gastrocolic C772 Intra-abdominal Mesenteric Leg/Lower limb C774 Inguinal region or leg Inguino-femoral, right and left* Lesser curvature C772 Intra-abdominal Mesenteric Lesser omental C772 Intra-abdominal Mesenteric Lineal (splenic) C772 Intra-abdominal Mesenteric Lobar, proximal (pulmonary) C771 Intrathoracic Hilar Lobar/intrapulmonary C771 Intrathoracic Hilar Lower jugular C770 Head, face and neck Cervical, right and left* Lower peratracheal C771 Intrathoracic Mediastinal Lower periesophageal (intrathoracic esophagus) C771 Intrathoracic Mediastinal Lower peritracheal C771 Intrathoracic Mediastinal Lumbar C771 Intra-abdominal Pelvis, right and left* Lumbar aortic C772 Intra-abdominal Para-aortic Mandibular C770 Head, face and neck Cervical, right and left* Mastoid (postauricular, retro-auricular) C770 Head, face and neck Cervical, right and left* Mediastinal, anterior C771 Intrathoracic Mediastinal Mediastinal, NOS C771 Intrathoracic Mediastinal Mediastinal, posterior (tracheoesophageal) C771 Intrathoracic Mediastinal Mediastinal, superior C771 Intrathoracic Mediastinal Mesenteric C772 Intra-abdominal Mesenteric Mesenteric, inferior C772 Intra-abdominal Mesenteric Mesenteric, sigmoid C772 Intra-abdominal Mesenteric Mesenteric, superior C772 Intra-abdominal Mesenteric Mesocolic C772 Intra-abdominal Mesenteric Version 2.0 (May 2012) Effective with Cases Diagnosed 1/1/2012 and after 112
5 Mid jugular C770 Head, face and neck Cervical, right and left* Midcolic C772 Intra-abdominal Pelvic, right and left* Middle (right) colic C772 Intra-abdominal Mesenteric Middle hemhorrhoidal C775 Pelvic Pelvic, right and left* Middle sacral C775 Pelvic Pelvic, right and left* Nasolabial C770 Head, face and neck Cervical, right and left* Node of Cloquet s or Rosenmuller (highest deep inguinal) C774 Inguinal region or leg Inguino-femoral, right and left* Obturator C775 Pelvic Pelvic, right and left* Occipital; suboccipital C770 Head, face and neck Cervical, right and left* Omental C772 Intra-abdominal Mesenteric Pancreatic; Aselli s glands (nodes near pancreas); parapancreatic; C772 Intra-abdominal Para-aortic peripancreatic Pancreaticoduodenal C772 Intra-abdominal Para-aortic Pancreaticosplenic (pancreaticolineal) C772 Intra-abdominal Mesenteric Para-aortic C772 Intra-abdominal Para-aortic Parabronchial C771 Intrathoracic Mediastinal Paracardial C772 Intra-abdominal Mesenteric Paracaval C772 Intra-abdominal Para-aortic Paracervical C775 Pelvic Pelvic, right and left* Paracolic/pericolic C772 Intra-abdominal Para-aortic Paraesophageal C771 Intrathoracic Mediastinal Paralaryngeal C770 Head, face and neck Cervical, right and left* Parametrial C775 Pelvic Pelvic, right and left* Parapancreatic C772 Intra-abdominal Para-aortic Parapharyngeal C770 Head, face and neck Cervical, right and left* Parasternal (internal mammary) C771 Intrathoracic Mediastinal Paratracheal C771 Intrathoracic Mediastinal Paratracheal, lower C771 Intrathoracic Mediastinal Parotid (peri-) C770 Head, face and neck Cervical, right and left* Pectoral (anterior axillary) C773 Axilla or arm Axillary, right and left* Pelvic, NOS C775 Pelvic Pelvic, right and left* Peratracheal, lower C771 Intrathoracic Mediastinal Peri-aortic C772 Intra-abdominal Para-aortic Peribronchial; parabronchial C771 Intrathoracic Mediastinal Pericardial C771 Intrathoracic Mediastinal Pericaval C772 Intra-abdominal Para-aortic Pericholedochal C772 Intra-abdominal Para-aortic Pericolic C772 Intra-abdominal Mesenteric Version 2.0 (May 2012) Effective with Cases Diagnosed 1/1/2012 and after 113
6 Periduodenal C772 Intra-abdominal Para-aortic Periesophageal C771 Intrathoracic Mediastinal Perigastric, except cardiac C772 Intra-abdominal Mesenteric Peripancreatic C772 Intra-abdominal Para-aortic Periparotid C770 Head, face and neck Cervical, right and left* Periportal C772 Intra-abdominal Pelvic, right and left* Periprostatic C775 Pelvic Pelvic, right and left* Perirectal C775 Pelvic Pelvic, right and left* Peritracheal, lower C771 Intrathoracic Mediastinal Periureteral C772 Intra-abdominal Para-aortic Perivesical C775 Pelvic Pelvic, right and left* Pharyngeal; Delphian node; prepharyngeal; retropharyngeal C770 Head, face and neck Cervical, right and left* Phrenic; inferior phrenic vein; superior phrenic vein C771 Intra-thoracic Mediastinal Popliteal C774 Inguinal region or leg Inguino-femoral, right and left* Porta hepatis [in hilus of liver] C772 Intra-abdominal Para-aortic Portal (portal vein) C772 Intra-abdominal Para-aortic Postauricular C770 Head, face and neck Cervical, right and left* Posterior axillary C773 Axilla or arm Axillary, right and left* Posterior cecal C772 Intra-abdominal Para-aortic Posterior mediastinal C771 Intrathoracic Mediastinal Posterior triangle (spinal accessory and transverse cervical) C770 Head, face and neck Cervical, right and left* Preaortic C772 Intra-abdominal Para-aortic Pre-auricular C770 Head, face and neck Cervical, right and left* Precarinal C771 Intrathoracic Mediastinal Prececal C772 Intra-abdominal Mesenteric Prelaryngeal C770 Head, face and neck Cervical, right and left* Prepharyngeal C770 Head, face and neck Cervical, right and left* Presymphsial C775 Pelvic Pelvic, right and left* Pretracheal C770 Head, face and neck Cervical, right and left* Promontorial C775 Pelvic Pelvic, right and left* Proximal lobar C771 Intrathoracic Hilar Proximal mesentery C772 Intra-abdominal Mesenteric Pulmonary ligament C771 Intrathoracic Mediastinal Pulmonary root C771 Intrathoracic Hilar Pulmonary, NOS C771 Intrathoracic Hilar Pyloric, Infra (subpyloric) C772 Intra-abdominal Para-aortic Pyloric; suprapyloric C772 Intra-abdominal Para-aortic Rectal C775 Pelvic Pelvic, right and left* Version 2.0 (May 2012) Effective with Cases Diagnosed 1/1/2012 and after 114
7 Recurrent laryngeal (laterotracheal, anterior deep cervical) C770 Head, face and neck Cervical, right and left* Recurrent pharyngeal C770 Head, face and neck Cervical, right and left* Renal hilar C772 Intra-abdominal Para-aortic Retroaortic C772 Intra-abdominal Para-aortic Retroauricular (mastoid) C770 Head, face and neck Cervical, right and left* Retrocaval C772 Intra-abdominal Para-aortic Retrocecal C772 Intra-abdominal Para-aortic Retrocecal (posterior cecal) C772 Intra-abdominal Para-aortic Retrocrural C771 Intra-thoracic Mediastinal Retroperitoneal C772 Intra-abdominal Para-aortic Retropharyngeal C770 Head, face and neck Cervical, right and left* Retrotracheal C771 Intrathoracic Mediastinal Right (inferior) gastric C772 Intra-abdominal Mesenteric Rosenmuller s node (inguinal) C774 Inguinal region or leg Inguino-femoral, right and left* Rosenmuller s-cloquet s nodes (inguinal) C774 Inguinal region or leg Inguino-femoral, right and left* Rotter s nodes (interpectoral between major and minor pectoralis) C773 Axilla or arm Axillary, right and left* Rouviere s node (retropharyngeal) C770 Head, face and neck Cervical, right and left* Sacral, lateral (laterosacral) C775 Pelvic Pelvic, right and left* Sacral, middle (promontorial/promontory) (Gerota s node) C775 Pelvic Pelvic, right and left* Sacral, NOS C775 Pelvic Pelvic, right and left* Sacral, presacral C775 Pelvic Pelvic, right and left* Sacral, uterosacral C774 Pelvic Pelvic, right and left* Scalene (inferior deep cervical) C770 Head, face and neck Cervical, right and left* Sigmoidal (sigmoid mesenteric) C772 Intra-abdominal Mesenteric Spermatic vein C774 Inguinal region or leg Inguino-femoral, right and left* Spinal accessory (posterior cervical) C770 Head, face and neck Cervical, right and left* Splenic (hilar) C772 Intra-abdominal Mesenteric Splenic (lienal) C772 Intra-abdominal Mesenteric Subaortic (aortico-pulmonary window) C772 Intra-abdominal Mediastinal Subcarinal C771 Intrathoracic Mediastinal Subclavian (apical) C770 Head, face and neck Cervical, right and left* Subclavicular (infraclavicular) C773 Axilla or arm Infraclavicular, right and left* Subdigastric C770 Head, face and neck Cervical, right and left* Subinguinal (superficial inguinal) C774 Inguinal region or leg Inguino-femoral, right and left* Sublingual C770 Head, face and neck Cervical, right and left* Submandibular (submaxillary) C770 Head, face and neck Cervical, right and left* Submental C770 Head, face and neck Cervical, right and left* Suboccipital C770 Head, face and neck Cervical, right and left* Version 2.0 (May 2012) Effective with Cases Diagnosed 1/1/2012 and after 115
8 Subpleural (in the periphery of the lung) C771 Intrathoracic Mediastinal Subpyloric C772 Intra-abdominal Para-aortic Subscapular (posterior axillary) C773 Axilla or arm Axillary, right and left* Superficial inguinal (subinguinal) C774 Inguinal region or leg Inguino-femoral, right and left* Superior gastrocolic (left gastrocolic) C772 Intra-abdominal Mesenteric Superior hemhorrhoidal C775 Pelvic Pelvic, right and left* Superior hilum C772 Intra-abdominal Pelvic, right and left* Superior jugular C770 Head, face and neck Cervical, right and left* Superior mesenteric C772 Intra-abdominal Pelvic, right and left* Superior rectal C775 Pelvic Pelvic, right and left* Supraclavicular (transverse cervical) C770 Head, face and neck Cervical, right and left* Supraomohyoid C770 Head, face and neck Cervical, right and left* Suprapancreatic C772 Intra-abdominal Para-aortic Suprapyloric C772 Intra-abdominal Para-aortic Thoracic (innominate) C771 Intrathoracic Mediastinal Thyroid C770 Head, face and neck Cervical, right and left* Tibial C774 Inguinal region or leg Inguino-femoral, right and left* Tracheal bifurcation C771 Intrathoracic Mediastinal Tracheal; pretracheal; retrotracheal C771 Intrathoracic Mediastinal Tracheobronchial C771 Intrathoracic Mediastinal Tracheoesophageal (posterior mediastinal) C771 Intrathoracic Mediastinal Transverse cervical (supraclavicular) C770 Head, face and neck Cervical, right and left* Transverse cervical; posterior triangle; spinal accessory C770 Head, face and neck Cervical, right and left* Trosier s node (left supraclavicular) C770 Head, face, and neck Cervical, right and left* Upper jugular C770 Head, face and neck Cervical, right and left* Virchow s node (supraclavicular) C770 Head, face, and neck Cervical, right and left* *The right and left are separate regions per AJCC Version 2.0 (May 2012) Effective with Cases Diagnosed 1/1/2012 and after 116
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