The intercostal lymph nodes lie near the heads and necks of the ribs at the back of each intercostal space. They drain the posterolateral chest wall, the parietal pleura and the vertebral column.
| Location | Posterior parts of the intercostal spaces, near the heads and necks of the ribs |
|---|---|
| Receives lymph from |
|
| Lymphatic drainage |
|
Filter lymph from the posterior and lateral thoracic wall and pleura.
Breast cancer and pleural tumours occasionally spread to these posterior nodes. Their efferents from the lower spaces descend to the cisterna chyli, and those from the upper spaces join the thoracic duct, so they can carry disease between chest and abdomen. They are seen only on cross-sectional imaging.
Spread of breast, lung or pleural cancer to posterior intercostal nodes, seen on CT or PET.
Involvement of intercostal nodes by malignant pleural mesothelioma.
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