Primary tumors from the greater curvature of the body of the stomach spread along the left gastroepiploic vessels and drain into the lymph nodes in the splenic hilum by following the left gastroepiploic vessels via the gastro-colic ligament and gastrosplenic ligament. From the posterior wall of the fundus of the stomach, they can also spread along the superior extent of the gastrosplenic ligament to the splenic hilum. From the splenic hilum, they can spread along the splenic artery to the celiac axis. This nodal group is known as the suprapancreatic nodes or the nodes in the splenorenal ligament. These nodes are also the primary site of lymphatic drainage from the spleen (Fig. 6-11).
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