b. Blood vessels:


Most of the blood enters the lymph node via:

(1) Arteries in the hilus, branches of these run within the trabeculae;

(2) Smaller branches continue in the medullary cords and after reaching the cortex form

(3) a capillary plexus around lymphoid nodules;

(4) Post capillary venules with "cuboidal" endothelium arise from the plexus [These tall endothelial venules are permeable to lymphocytes from the blood. This is the only place where lymphocytes can leave the blood ( by diapedesis) to migrate to the cortex.] and give rise to:

(5) venules with normal (flattened) endothelium, which are tributary to larger veins leaving the node at the hilus. (See Fig. 1.).

 

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LABORATORY EXERCISE:
Virtual Slide 35. Lymph node - This slide is stained with H&E. You should be able to locate all of the features of a typical lymph node from this sections. As usual, you should use your syllabus for information on the morphology. Identify and study the capsule, trabeculae, stroma, subcapsular (marginal) sinus, trabecular or intermediate sinus, cortex, secondary lymphoid nodules, paracortex, medullary cords and sinuses. Find the lymphoid nodules in the cortex. Identify germinal centers. Identify the mantle or crown. Identify reticular cells forming the stroma and those spanning sinuses! Identify, small lymphocytes, plasma cells, granulocytes, and macrophages in the medullary cords and sinuses! Also use your Digital Histology CD.

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