AB2.H2.4 Lymph Nodes - Function

Lymph Nodes - Function:

  • The function of lymph nodes is to monitor lymphatic fluid that has drained from tissue spaces and to mount an immune response against any foreign antigens found
  • All lymphatic fluid passes through at least one lymph node before it is returned to the blood
  • Lymph nodes are not randomly scattered around the body but are (usually) found at defined locations
  • Each lymph node, or group of lymph nodes, drains lymphatic fluid from a defmed area of the body
  • The lymphatic fluid draining from tissue spaces may carry foreign antigens which trigger an immune response in the lymph node
  • The resultant swelling in the lymph node, clinically, can be used as an indicator of the part of the body that an infection is present
  • Thus, it is important to understand, and know, the part of the body that lymphatic fluid drains into each group of lymph nodes
  • As well as carrying foreign antigens/ whole pathogenic organisms, the lymphatic capillaries and fluid also provide a route through which tumour cells can pass around the body
  • Individual tumour cells which break away from a primary tumour and pass through the lymphatic system may settle in a draining lymph node and proliferate to give a secondary tumour
  • As with infections, a knowledge of the draining pattern of lymphatic fluid may help in determining the location of tumours
  • They can also give an indication of the amount of spread (metastasis) of a tumour and this may have an influence on the treatment offered to individual patients

Questions:

    All lymphatic fluid passes through at least one lymph node before it is returned to the blood - where is lymph returned to the blood?
    Individual tumour cells which break away from a primary tumour and pass through the lymphatic system may settle in a draining lymph node and proliferate to give a secondary tumour - by what other route(s) may tumour cells spread to secondary sites?