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MOTHER PATERN COLLEGE OF HEALTH SCIENCES
ANATOMY OF THE LYMPHATIC SYSTEM
PRESENTED BY: A. JAMES BARPUE, Jr.
TUE. DECEMBER 6, 2016
The lymphatic system consists of the following
components:
 Lymph
 lymphatic vessels
 lymphatic tissue
 lymphatic organs
Components of the lymphatic system
 Lymph is usually a clear, colorless fluid, similar to blood. plasma
but low in protein
 It originates as tissue fluid that has been taken up by the
lymphatic vessels.
 Lymph leaving the lymph nodes contains a large number of
lymphocytes
 Lymph can also contain macrophages, hormones, bacteria,
viruses, cellular debris, and even traveling cancer cells.
Lymph
 Lymph flows through a system of lymphatic vessels (lymphatics)
similar to blood vessels
 These begin with microscopic lymphatic capillaries
 The lymphatic capillary penetrates nearly every tissue of the body
 They are closely associated with blood capillaries
 A lymphatic capillary consists of a sac of thin endothelial cells
Lymphatic Vessels
 lymphatic endothelial cells are not joined by tight junctions
 the gaps between them are so large that bacteria, lymphocytes,
and other cells and particles can enter along with the tissue fluid
 The overlapping edges of the endothelial cells act as valvular flaps
that can open and close
 The overlapping edges of the endothelial cells act as valvular flaps
that can open and close
Lymphatic Capillaries cont’d
Lymphatic capillaries
 The larger lymphatic vessels are similar to veins in their histology.
 They have a tunica interna
 tunica media
 tunica externa.
 As the lymphatic vessels converge along their path, they become
larger and larger vessels with changing names.
Lymphatic Vessels cont’d
 The route from the tissue fluid back to the bloodstream is:
 lymphatic capillaries —> collecting vessels —> six lymphatic
trunks— two collecting ducts —> subclavian veins
 The lymphatic capillaries converge to form collecting vessels
 At irregular intervals, they empty into lymph nodes
 The lymph trickles slowly through the node
Lymphatic Vessels cont’d
 It leaves the other side of the node through another collecting
vessel
 traveling on and often encountering additional lymph nodes
before it finally returns to the bloodstream
 Eventually, the collecting vessels converge to form larger
lymphatic trunks
 each of which drains a major portion of the body
Lymphatic Vessels cont’d
 There are six lymphatic trunks:
 Jugular
 Subclavian
 Branchomediastinal
 Intercostal
 Intestinal
 lumbar
Lymphatic Vessels cont’d
 The lymphatic trunks converge to form two collecting ducts:
1. The right lymphatic duct
2. The thoracic duct
 The thoracic duct, on the left, is larger and longer.
 It begins just below the diaphragm, anterior to the vertebral
column at the level of the second lumbar vertebra
Lymphatic Vessels cont’d
 Here, the two lumbar trunks and the intestinal trunk join and
form the cisterna chyli
 cisterna chyli , named for the large amount of chyle that it
collects after a meal.
Lymphatic Vessels cont’d
 Lymph flows under forces similar to those that govern venous
return
 except that the lymphatic system has no pump like the heart.
 It flows at even lower pressure and speed than venous blood.
 The valves of lymphatic vessels prevent the fluid from flowing
backward
The Flow Of Lymph
The Flow Of Lymph cont’d
 Aside from cells playing purely structural roles, the lymphatic
system has six principal categories of defensive cells:
I. Natural killer (NK) cells
II. T lymphocytes (T cells)
III. B lymphocytes (B cells)
IV. Macrophages
V. Dendritic cells
VI. Reticular cells
 Macrophages, B lymphocytes, and reticular cells are collectively
called APCs.
Lymphatic Cells
 They are aggregations of lymphocytes in the connective tissues of
mucous membranes and various organs
 The simplest form is diffuse lymphatic tissue
 It is prevalent in the respiratory, digestive, urinary, and
reproductive tracts
 In these areas, it is called mucosa-associated lymphatic tissue
(MALT)
 It is sometimes called BALT and GALT based on the location.
Lymphatic Tissues
Lymphatic Nodule in the Mucous
Membrane of the small intestine
 In some places, lymphocytes and macrophages congregate in
dense masses called lymphatic nodules (follicles)
 lymphatic nodules (follicles), come and go as pathogens invade
the tissues and the immune system answers the challenge
 Abundant lymphatic nodules are a constant feature of the lymph
nodes, tonsils, and appendix
 In the ileum, they form clusters called Peyer patches.
Lymphatic Tissues cont’d
 lymphatic (lymphoid) organs have well-defined anatomical sites
 These organs include the red bone marrow, thymus, lymph nodes,
tonsils, and spleen
 The red bone marrow and thymus are regarded as primary
lymphatic organs
 The lymph nodes, tonsils, and spleen are called secondary
lymphatic organs
Lymphatic Organs
 Red bone marrow is involved in hemopoiesis and immunity
 In children, it occupies the medullary spaces of nearly the entire
skeleton
 In adults, it is limited to parts of the axial skeleton and the proximal
heads of the humerus and femur
 is an important supplier of lymphocytes to the immune system
 Red bone marrow is a soft, loosely organized, highly vascular
material, separated from osseous tissue by the endosteum of the
bone
Red Bone Marrrow
 it produces all classes of formed elements of the blood
 its red color comes from the abundance of erythrocytes
 Numerous small arteries enter nutrient foramina on the bone
surface
 It penetrates the bone, and empty into large sinusoids in the
marrow
 The sinusoids drain into a central longitudinal vein that exits the
bone via the same route that the arteries entered
Red Bone Marrow cont’d
 The sinusoids, 45 to 80 µm wide
 They are lined by endothelial cells
 are surrounded by reticular cells and reticular fibers.
 The spaces between the sinusoids are occupied by islands(cords)
of hemopoietic cells, composed of macrophages and blood cell
stages of development
 As blood cells mature, they push their way through the reticular
and endothelial cells to enter the sinus and flow away in the
bloodstream.
Red Bone Marrrow cont’d
 It is a bilobed organ located between the sternum and aortic arch
in the upper mediastinum
 The two lobes are connected by a median bridge of tissue
 The fibrous capsule of the thymus gives off trabeculae (septa)
that penetrate into the gland
 It houses developing lymphocytes
Thymus
 Trabeculae divide it into several angular lobules.
 Each lobule has a dense, dark-staining cortex and a lighter medulla
inhabited by T lymphocytes
 Reticular epithelial cells seal off the cortex from the medulla
 It surround the blood vessels and lymphocyte clusters in the
cortex
 They thereby form a blood—thymus barrier that isolates
developing lymphocytes from blood-borne antigens.
Thymus cont’d
 In the medulla, the reticular epithelial cells form whorls called
thymic (Hassall) corpuscles
 reticular epithelial cells secrete several signaling molecules that
promote the development and action of T cells
Thymus cont’d
 A lymph node is-an elongated or bean-shaped
structure
 It is usually less than 3 cm long
 with an indentation called the hilum on one side
 Lymph nodes are the most numerous lymphatic
organs
Lymph Nodes
 It is enclosed in a fibrous capsule with trabeculae
 The subcapsular sinus contains reticular fibers, macrophages,
and dendritic cells.
 The parenchyma is divided into :
 Cortex
 Medulla
Lymph Nodes
 Lymph nodes are widespread but especially concentrated in the
following locations:
 Cervical lymph nodes
 Axillary lymph nodes
 Thoracic lymph nodes
 Abdominal lymph nodes
 Intestinal and mesenteric lymph
 Inguinal lymph nodes
 Popliteal lymph nodes
Lymph Nodes
 The tonsils are patches of lymphatic tissue
 They are located at the entrance to the pharynx
 Each is covered by an epithelium
 It has deep pits called tonsillar crypts lined by lymphatic nodules.
 There are three main sets of tonsils:
1. A single median pharyngeal tonsil
Tonsils
2. A pair of palatine tonsils
3. numerous lingual tonsils
Tonsils
The Spleen
 The spleen is about 12 cm long (5 in.)
 it weighs up to 160 g (5.6 oz).
 The spleen is located in the left hypochondriac region, just
inferior to the diaphragm .
 It is posterolateral to the stomach
 It is protected by ribs 10 through 12
 It is attached to the lateral border of the stomach by a broad
mesenteric band
The Spleen
 It lies wedged between the stomach, the left kidney, and the
muscular diaphragm
 Two types of tissues found in the spleen includes:
 red pulp
 white pulp
The Spleen Cont’d
 Are located in the mucosa and submucosa throughout the small
intestine
 They contain mostly B cells.
Peyer’s Patches
 The appendix is a pouch of lymphatic tissue that is attached to
the large intestine
 It is located in the lower-right area of the abdomen
The appendix
 The lymphatic system consists of the following components: (1)
lymph
(2). lymphatic vessels and (3). lymphatic tissue
 Lymphatic organs include: the red bone marrow, thymus, lymph
nodes, tonsils, and spleen.
 The red bone marrow and thymus are regarded as primary
lymphatic organs.
 The lymph nodes, tonsils, and spleen are called secondary
lymphatic organs.
Summary
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ANATOMY OF THE LYMPHATIC SYSTEM

  • 1. MOTHER PATERN COLLEGE OF HEALTH SCIENCES ANATOMY OF THE LYMPHATIC SYSTEM PRESENTED BY: A. JAMES BARPUE, Jr. TUE. DECEMBER 6, 2016
  • 2. The lymphatic system consists of the following components:  Lymph  lymphatic vessels  lymphatic tissue  lymphatic organs Components of the lymphatic system
  • 3.  Lymph is usually a clear, colorless fluid, similar to blood. plasma but low in protein  It originates as tissue fluid that has been taken up by the lymphatic vessels.  Lymph leaving the lymph nodes contains a large number of lymphocytes  Lymph can also contain macrophages, hormones, bacteria, viruses, cellular debris, and even traveling cancer cells. Lymph
  • 4.  Lymph flows through a system of lymphatic vessels (lymphatics) similar to blood vessels  These begin with microscopic lymphatic capillaries  The lymphatic capillary penetrates nearly every tissue of the body  They are closely associated with blood capillaries  A lymphatic capillary consists of a sac of thin endothelial cells Lymphatic Vessels
  • 5.  lymphatic endothelial cells are not joined by tight junctions  the gaps between them are so large that bacteria, lymphocytes, and other cells and particles can enter along with the tissue fluid  The overlapping edges of the endothelial cells act as valvular flaps that can open and close  The overlapping edges of the endothelial cells act as valvular flaps that can open and close Lymphatic Capillaries cont’d
  • 7.  The larger lymphatic vessels are similar to veins in their histology.  They have a tunica interna  tunica media  tunica externa.  As the lymphatic vessels converge along their path, they become larger and larger vessels with changing names. Lymphatic Vessels cont’d
  • 8.  The route from the tissue fluid back to the bloodstream is:  lymphatic capillaries —> collecting vessels —> six lymphatic trunks— two collecting ducts —> subclavian veins  The lymphatic capillaries converge to form collecting vessels  At irregular intervals, they empty into lymph nodes  The lymph trickles slowly through the node Lymphatic Vessels cont’d
  • 9.
  • 10.  It leaves the other side of the node through another collecting vessel  traveling on and often encountering additional lymph nodes before it finally returns to the bloodstream  Eventually, the collecting vessels converge to form larger lymphatic trunks  each of which drains a major portion of the body Lymphatic Vessels cont’d
  • 11.  There are six lymphatic trunks:  Jugular  Subclavian  Branchomediastinal  Intercostal  Intestinal  lumbar Lymphatic Vessels cont’d
  • 12.
  • 13.  The lymphatic trunks converge to form two collecting ducts: 1. The right lymphatic duct 2. The thoracic duct  The thoracic duct, on the left, is larger and longer.  It begins just below the diaphragm, anterior to the vertebral column at the level of the second lumbar vertebra Lymphatic Vessels cont’d
  • 14.  Here, the two lumbar trunks and the intestinal trunk join and form the cisterna chyli  cisterna chyli , named for the large amount of chyle that it collects after a meal. Lymphatic Vessels cont’d
  • 15.
  • 16.
  • 17.  Lymph flows under forces similar to those that govern venous return  except that the lymphatic system has no pump like the heart.  It flows at even lower pressure and speed than venous blood.  The valves of lymphatic vessels prevent the fluid from flowing backward The Flow Of Lymph
  • 18. The Flow Of Lymph cont’d
  • 19.  Aside from cells playing purely structural roles, the lymphatic system has six principal categories of defensive cells: I. Natural killer (NK) cells II. T lymphocytes (T cells) III. B lymphocytes (B cells) IV. Macrophages V. Dendritic cells VI. Reticular cells  Macrophages, B lymphocytes, and reticular cells are collectively called APCs. Lymphatic Cells
  • 20.  They are aggregations of lymphocytes in the connective tissues of mucous membranes and various organs  The simplest form is diffuse lymphatic tissue  It is prevalent in the respiratory, digestive, urinary, and reproductive tracts  In these areas, it is called mucosa-associated lymphatic tissue (MALT)  It is sometimes called BALT and GALT based on the location. Lymphatic Tissues
  • 21. Lymphatic Nodule in the Mucous Membrane of the small intestine
  • 22.  In some places, lymphocytes and macrophages congregate in dense masses called lymphatic nodules (follicles)  lymphatic nodules (follicles), come and go as pathogens invade the tissues and the immune system answers the challenge  Abundant lymphatic nodules are a constant feature of the lymph nodes, tonsils, and appendix  In the ileum, they form clusters called Peyer patches. Lymphatic Tissues cont’d
  • 23.  lymphatic (lymphoid) organs have well-defined anatomical sites  These organs include the red bone marrow, thymus, lymph nodes, tonsils, and spleen  The red bone marrow and thymus are regarded as primary lymphatic organs  The lymph nodes, tonsils, and spleen are called secondary lymphatic organs Lymphatic Organs
  • 24.
  • 25.  Red bone marrow is involved in hemopoiesis and immunity  In children, it occupies the medullary spaces of nearly the entire skeleton  In adults, it is limited to parts of the axial skeleton and the proximal heads of the humerus and femur  is an important supplier of lymphocytes to the immune system  Red bone marrow is a soft, loosely organized, highly vascular material, separated from osseous tissue by the endosteum of the bone Red Bone Marrrow
  • 26.  it produces all classes of formed elements of the blood  its red color comes from the abundance of erythrocytes  Numerous small arteries enter nutrient foramina on the bone surface  It penetrates the bone, and empty into large sinusoids in the marrow  The sinusoids drain into a central longitudinal vein that exits the bone via the same route that the arteries entered Red Bone Marrow cont’d
  • 27.  The sinusoids, 45 to 80 µm wide  They are lined by endothelial cells  are surrounded by reticular cells and reticular fibers.  The spaces between the sinusoids are occupied by islands(cords) of hemopoietic cells, composed of macrophages and blood cell stages of development  As blood cells mature, they push their way through the reticular and endothelial cells to enter the sinus and flow away in the bloodstream. Red Bone Marrrow cont’d
  • 28.
  • 29.
  • 30.  It is a bilobed organ located between the sternum and aortic arch in the upper mediastinum  The two lobes are connected by a median bridge of tissue  The fibrous capsule of the thymus gives off trabeculae (septa) that penetrate into the gland  It houses developing lymphocytes Thymus
  • 31.  Trabeculae divide it into several angular lobules.  Each lobule has a dense, dark-staining cortex and a lighter medulla inhabited by T lymphocytes  Reticular epithelial cells seal off the cortex from the medulla  It surround the blood vessels and lymphocyte clusters in the cortex  They thereby form a blood—thymus barrier that isolates developing lymphocytes from blood-borne antigens. Thymus cont’d
  • 32.  In the medulla, the reticular epithelial cells form whorls called thymic (Hassall) corpuscles  reticular epithelial cells secrete several signaling molecules that promote the development and action of T cells Thymus cont’d
  • 33.
  • 34.  A lymph node is-an elongated or bean-shaped structure  It is usually less than 3 cm long  with an indentation called the hilum on one side  Lymph nodes are the most numerous lymphatic organs Lymph Nodes
  • 35.  It is enclosed in a fibrous capsule with trabeculae  The subcapsular sinus contains reticular fibers, macrophages, and dendritic cells.  The parenchyma is divided into :  Cortex  Medulla Lymph Nodes
  • 36.
  • 37.
  • 38.  Lymph nodes are widespread but especially concentrated in the following locations:  Cervical lymph nodes  Axillary lymph nodes  Thoracic lymph nodes  Abdominal lymph nodes  Intestinal and mesenteric lymph  Inguinal lymph nodes  Popliteal lymph nodes Lymph Nodes
  • 39.  The tonsils are patches of lymphatic tissue  They are located at the entrance to the pharynx  Each is covered by an epithelium  It has deep pits called tonsillar crypts lined by lymphatic nodules.  There are three main sets of tonsils: 1. A single median pharyngeal tonsil Tonsils
  • 40. 2. A pair of palatine tonsils 3. numerous lingual tonsils Tonsils
  • 41.
  • 43.  The spleen is about 12 cm long (5 in.)  it weighs up to 160 g (5.6 oz).  The spleen is located in the left hypochondriac region, just inferior to the diaphragm .  It is posterolateral to the stomach  It is protected by ribs 10 through 12  It is attached to the lateral border of the stomach by a broad mesenteric band The Spleen
  • 44.  It lies wedged between the stomach, the left kidney, and the muscular diaphragm  Two types of tissues found in the spleen includes:  red pulp  white pulp The Spleen Cont’d
  • 45.
  • 46.  Are located in the mucosa and submucosa throughout the small intestine  They contain mostly B cells. Peyer’s Patches
  • 47.  The appendix is a pouch of lymphatic tissue that is attached to the large intestine  It is located in the lower-right area of the abdomen The appendix
  • 48.  The lymphatic system consists of the following components: (1) lymph (2). lymphatic vessels and (3). lymphatic tissue  Lymphatic organs include: the red bone marrow, thymus, lymph nodes, tonsils, and spleen.  The red bone marrow and thymus are regarded as primary lymphatic organs.  The lymph nodes, tonsils, and spleen are called secondary lymphatic organs. Summary