AL4 LYMPHATICS HISTOLOGY
LYMPH NODES
GROSS STRUCTURE HISTOLOGY
-Situated along the lymph vessels, most commonly in axilla, inguinal region, neck,
body cavities and along major blood vessels.
-Flattened, bean shaped structure that consists of frame work of reticular network
of fibers, afferent lymph vessels, efferent lymph vessels, lymphatic sinuses, capsule
and hilum.
-It is subdivided into Cortex & Medulla.
Capsule (C) contains collagen fibers & elastic fibers. It sends in trabeculae (T),
dividing the cortex into irregular compartments.
Cx- Cortex, P- paracortex (deeper part of cortex), M- Medulla, MC – medullary
cords, H- hilum
LYMPHATICS SINUSES
-Consist of a system of channels like spaces through which lymph filter.
-As lymph passes through the sinuses 99% or more of antigens & other debris are
removed by the macrophages that line the sinus.
-Lymph flow: The afferent vessels lead to sub capsular sinuses, then to cortical
sinuses, then to medullary sinuses, and finally to efferent vessels.
CORTEX
-darker in color due to abundant of lymphocytes.
-It consists of – Outer cortex & Inner cortex (paracortex)
-Outer Cortex has nodular (lymphatic nodules) & diffuse lymphatic tissue.
-Primary Lymphatic nodule consists of mainly of B cells, few plasma cells & no
pale center.
-Secondary lymphatic nodule - Germinal (pale) center is present. Develops in
response to antigenic challenge (eg. infection).
-Cells in the germinal centre are larger & possess more cytoplasm & paler nuclei
than do the small lymphocytes.
The cells in GC: lymphoblasts, medium sized lymphocytes, macrophages & T
lymphocytes.
INNER CORTEX (PARACORTEX)
- consists of diffuse lymphatic tissue, majority of cells being, T lymphocytes &
follicular dendritic cells (has pale staining nuclei aka antigen presenting cell).
This part of cortex is also k/a thymic dependent area (populated with T
lymphocytes)
MEDULLA
- is paler, compared to cortex (due to less lymphocytes), consists of (1) medullary
sinuses (space between medullary cords) and irregular (2) medullary cords (cords
of lymphatic tissue) that branch & anastomose. There are a lot plasma cells,
macrophages.