Nodal Metastases in the Gastrosplenic Ligament

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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Baby Sleeping

Baby Sleeping

Everything You Need To Know About Baby Sleeping. Your baby is going to be sleeping a lot. During the first few months, your baby will sleep for most of theday. You may not get any real interaction, or reactions other than sleep and crying.

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