[Ultrasonic diagnosis of nodal lesions of the axillary-jugular lymphatic plexus and their evolution].

Axillary lymph nodes of three levels may be adequately differentiated on the basis of the TNM classification by application of layer-by-layer tomographic examination of axillary fossa and thoracic and clavicular-thoracic triangles in the axillary cavity. Echographs show musculus thoracis minor as a distinct point of reference. Topographic features of deep lateral cervical lymph nodes may be used in anatomical identification of internal jugular nodes, transverse cervical artery, accessory nerve and suprajugular lymph nodes. In cases of multiple involvement of lymph nodes, their shape (chain or cluster) may be identified. It can be shown Whether lymph flows are in series, collateral centripetal, collateral centrifugal (recirculatory) or run parallel in metastatic areas. Varying patterns of lymph flow through collateral pathways formed in the axillary-jugular lymph plexus are responsible for the variety of patterns of lesion clusters in the lymph nodes system.