{{위키데이터 속성 추적}}

{{해부학 정보
|종류 = 림프
|이름 = 목림프절
|영어 = cervical lymph nodes
|라틴어 = nodi lymphoidei cervicales
|그림 = Lymph node regions.svg
|설명 = 구역별 림프조직의 모습. 목 부위는 파란색으로 위쪽에 표시되어 있다.
|그림2 = Cervical lymph nodes and levels.png
|설명2 = 목림프절의 분류{{sfn|Buyten|2006}}{{sfn|Robbins et al|2002}}{{sfn|Brekel et al|1998}}
| DrainsFrom  =
| DrainsTo    =
}}
[[파일:Illu lymph chain02.jpg|섬네일|목림프절의 분류]]

'''목림프절'''(cervical lymph nodes) 또는 '''경부림프절'''(頸部lymph節)은 [[목]]에 위치하는 [[림프절]]들이다. 인체에는 800개 가량의 림프절이 존재하며 그중 300개가 목에 위치한다.{{sfn|Mukherji|2002}} [[종양]], [[감염]], [[염증]] 등 여러 가지 서로 다른 병적 상태가 목림프절에 영향을 미칠 수 있다.{{sfn|Eisenmenger|Wiggins|2015}}

== 임상적 중요성 ==
[[감염성 단핵구증]]으로 인해 목림프절이 부을 수 있다. 한편 [[CT 스캔]], [[자기공명영상|MRI]], [[의료 초음파|초음파 영상]] 등으로 [[암|악성]] 림프절을 발견하는 것은 어려우며, 따라서 [[PET 스캔]]과 같은 다른 [[핵의학]]적 영상 기법으로 확인이 필요하다. [[세침흡인]]을 통한 조직 진단 역시 정확도가 높아 쓰일 수 있다. 암의 [[전이 (의학)|전이]]가 목림프절에 일어나는 경우 [[두경부암|두경부]]의 [[편평세포암종]]의 가장 중요한 단일 예후 인자가 되며 이때 생존률은 절반 정도로 줄어든다. 암이 림프절의 피막을 뚫고 나간 경우 (extracapsular extension), 생존률은 50% 넘게 떨어질 수 있다. 다른 중요한 예후 인자에는 전이된 림프절의 위치, 크기, 숫자 등이 있으며  이들은 원격 전이 위험성과도 관련성이 있다. [[유두갑상샘암종]]에서도 목림프절 전이가 흔하게 나타난다.{{sfn|Chen et al|2015}}{{sfn|Park et al|2015}}

== 추가 이미지 ==
<gallery>
파일:Gray603.png|[[인두 (해부학)|인두]]의 림프계
파일:Gray604.png|[[얼굴]]의 림프계
</gallery>

== 각주 ==
{{각주}}

== 참고 문헌 ==
{{참고 자료 시작|30em}}
* {{서적 인용|last1=Amin|first1=Mahul B.|last2=Edge|first2=Stephen B.|last3=Greene|first3=Frederick L.|title=AJCC Cancer Staging Manual|edition=Eighth|url=https://books.google.com/books?id=O2PyjwEACAAJ|date=30 March 2018|publisher=[[Springer International Publishing]]|isbn=978-3-319-40617-6|ref={{harvid|AJCC|2018}}}}
* {{저널 인용|last1=van den Brekel |first1=MW |last2=Castelijns |first2=JA |last3=Snow |first3=GB |title=The size of lymph nodes in the neck on sonograms as a radiologic criterion for metastasis: how reliable is it? |journal=[[American Journal of Neuroradiology]] |date=April 1998 |volume=19 |issue=4 |pages=695–700 |pmid=9576657|ref={{harvid|Brekel et al|1998}}}}
* {{웹 인용|last=Buyten|first=Jeffrey|url=https://www.utmb.edu/otoref/grnds/Neck-dissection-060920/Neck-dissection-060920.pdf|title=Neck Dissection and sentinel lymph node biopsy|date=20 September 2006|access-date=13 July 2018|work=Grand Rounds|publisher=[[The university of texas medical branch|Department of Otolaryngology, The University of Texas Medical Branch at Galveston]]|archive-url=https://web.archive.org/web/20140827080446/http://www.utmb.edu/otoref/Grnds/Neck-dissection-060920/Neck-dissection-060920.pdf|archive-date=27 August 2014|url-status=dead}}
** [https://web.archive.org/web/20140827081344/http://www.utmb.edu/otoref/Grnds/Neck-dissection-060920/Neck-dissection-slides-060920.pdf Slides]
* {{저널 인용|last1=Chen |first1=Chien-Chih |last2=Lin |first2=Jin-Ching |last3=Chen |first3=Kuan-Wen |title=Lymph node ratio as a prognostic factor in head and neck cancer patients |journal=Radiation Oncology |date=25 August 2015 |volume=10 |issue=1 |page=181 |doi=10.1186/s13014-015-0490-9|pmid=26302761|pmc=4554293|ref={{harvid|Chen et al|2015}}}}
* {{저널 인용|last1=Chong |first1=Vincent |title=Cervical lymphadenopathy: what radiologists need to know |journal=Cancer Imaging |date=2004 |volume=4 |issue=2 |pages=116–120 |doi=10.1102/1470-7330.2004.0020|pmid=18250018|pmc=1434593}}
* {{서적 인용|last1=Edge|first1=Stephen|last2=Byrd|first2=David R.|last3=Compton|first3=Carolyn C.|title=AJCC Cancer Staging Handbook: From the AJCC Cancer Staging Manual|edition= Seventh|url=https://cancerstaging.org/references-tools/deskreferences/Documents/AJCC%207th%20Ed%20Cancer%20Staging%20Manual.pdf|date=28 April 2011|publisher=[[Springer Science+Business Media|Springer]] New York|isbn=978-0-387-88442-4|ref={{harvid|AJCC|2009}}}}
* {{저널 인용|last1=Eisenmenger|first1=LB|last2=Wiggins |first2=RH|title=Imaging of head and neck lymph nodes|url=https://www.radiologic.theclinics.com/article/S0033-8389(14)00150-X/fulltext|journal=Radiologic Clinics of North America|date=January 2015|volume=53|issue=1|pages=115–32|pmid=25476176|doi=10.1016/j.rcl.2014.09.011}}
* {{저널 인용|last1=Grégoire |first1=Vincent |last2=Ang |first2=KianA. |last7=Lee |first7=Anne |last8=Le |first8=Quynh-Thu |last9=Maingon |first9=Philippe |last10=Nutting |first10=Chris |last11=O’Sullivan |first11=Brian |last12=Porceddu |first12=Sandro V. |last13=Lengele |first13=Benoit |title=Delineation of the neck node levels for head and neck tumors: A 2013 update. DAHANCA, EORTC, HKNPCSG, NCIC CTG, NCRI, RTOG, TROG consensus guidelines |journal=Radiotherapy and Oncology |date=January 2014 |volume=110 |issue=1 |pages=172–181 |doi=10.1016/j.radonc.2013.10.010|pmid=24183870 |ref={{harvid|Gregoire et al|2013}}}}
* {{저널 인용 |last1=Mukherji |first1=Suresh K. |last2=Gujar |last3=Londy |first3=Frank J. |title=A Simplified Approach to the Lymph Nodes of the Neck |journal=Neurographics |date=2002 |issue=2 |url=https://www.asnr.org/neurographics/2/2/2/ |ref={{harvid|Mukherji|2002}} |access-date=2022-09-19 |archive-date=2021-02-27 |archive-url=https://web.archive.org/web/20210227180530/https://www.asnr.org/neurographics/2/2/2/ |url-status= }}
* {{저널 인용|last1=Park |first1=Chang Ho |last2=Song |first2=Chang Myeon |last3=Ji |first3=Yong Bae |last4=Pyo |first4=Ju Yeon |last5=Yi |first5=Ki Jong |last6=Song |first6=Young Soo |last7=Park |first7=Yong Wook |last8=Tae |first8=Kyung |title=Significance of the Extracapsular Spread of Metastatic Lymph Nodes in Papillary Thyroid Carcinoma |journal=Clinical and Experimental Otorhinolaryngology |date=2015 |volume=8 |issue=3 |pages=289–294|doi=10.3342/ceo.2015.8.3.289|pmid=26330926|pmc=4553362|ref={{harvid|Park et al|2015}}}}
* {{저널 인용|last1=Robbins |first1=K. T. |last2=Medina |first2=J. E. |last3=Wolfe |first3=G. T. |last4=Levine |first4=P. A. |last5=Sessions |first5=R. B. |last6=Pruet |first6=C. W. |title=Standardizing Neck Dissection Terminology: Official Report of the Academy's Committee for Head and Neck Surgery and Oncology |journal=[[Archives of Otolaryngology|Archives of Otolaryngology–Head & Neck Surgery]] |date=1 June 1991 |volume=117 |issue=6 |pages=601–605 |doi=10.1001/archotol.1991.01870180037007|pmid=2036180 |ref={{harvid|Robbins et al|1991}}}}
* {{저널 인용|last1=Robbins |first1=K. Thomas |last2=Clayman |first2=Garry |last3=Levine |first3=Paul A. |last4=Medina |first4=Jesus |last5=Sessions |first5=Roy |last6=Shaha |first6=Ashok |last7=Som |first7=Peter |last8=Wolf |first8=Gregory T. |title=Neck Dissection Classification Update |journal=[[Archives of Otolaryngology–Head & Neck Surgery]] |date=1 July 2002 |volume=128 |issue=7 |pages=751 |doi=10.1001/archotol.128.7.751|pmid=12117328 |ref={{harvid|Robbins et al|2002}}|doi-access=free }}
* {{서적 인용|last1=Rouvière|first1=Henri|author-link=Henri Rouviere|others=trans. Morris Jacob Tobias|title=Anatomie des lymphatiques de l'homme|trans-title=Anatomy of the Human Lymphatic System, Edwards Brothers, Ann Arbor, MI. 1938|url=https://books.google.com/books?id=gGzGNQAACAAJ|year=1932|publisher=[[Masson (publisher)|Masson]]|location=Paris}}
** {{저널 인용|title=Anatomie des lymphatiques de l'homme |journal=[[Journal of the American Medical Association]] |date=12 November 1932 |volume=99 |issue=20 |pages=1716 |type=Review|doi=10.1001/jama.1932.02740720070042|ref={{harvid|JAMA|1932}}}}
* {{저널 인용|last1=Som |first1=Peter M. |last2=Curtin |first2=Hugh D. |last3=Mancuso |first3=Anthony A. |title=An Imaging-Based Classification for the Cervical Nodes Designed as an Adjunct to Recent Clinically Based Nodal Classifications |journal=[[Archives of Otolaryngology–Head & Neck Surgery]] |date=1 April 1999 |volume=125 |issue=4 |pages=388–396 |doi=10.1001/archotol.125.4.388|pmid=10208676|ref={{harvid|Som et al|1999}}}}

{{참고 자료 끝}}

== 외부 링크 ==
* {{웹 인용|last1=Chandrasekhar |first1=A |title=Clinical examination of the cervical lymph nodes |url=http://www.meddean.luc.edu/Lumen/MedEd/medicine/pulmonar/PD/pstep23.htm |website=Medical Education Network: Screening Physical Exam |publisher=Loyola University |access-date=17 July 2018 |date=28 March 2006}}
* {{웹 인용|last1=Harding |first1=Mary |title=Neck Lumps and Bumps: Lymph nodes (glands) of the head |url=https://patient.info/health/neck-lumps-and-bumps-leaflet |website=Patient Platform |access-date=17 July 2018 |date=5 July 2017}}
* {{웹 인용|last1=Gosselin |first1=Benoit J |title=Neck, Cervical Metastases, Detection |url=https://emedicine.medscape.com/article/849516-overview#section~anatomy_of_the_cervical_lymphatics |website=[[Medscape]] |publisher=WebMD |date=8 March 2016}}

[[분류:림프계]]