Figure 1: AJCC esophageal staging, nodal designation.
(1) Supraclavicular nodes: Above sterna notch and clavicles; (2R) Right upper paratracheal nodes - Between intersection of caudal margin of innominate artery with trachea and the apex of the lung; (2L) Left upper paratracheal nodes - Between top of the aortic arch and apex of the lung; (3P) Posterior mediastinal nodes - Upper paraesophageal nodes, above tracheal bifurcation; (4R) Right lower paratracheal nodes - Between intersection of caudal margin of innominate artery with trachea and cephalic border of azygous vein; (4L) Left lower paratracheal nodes - Between top of aortic arch and carina; (5) Aortopulmonary nodes -Subaorticanspara-aortic nodes lateral to the ligamentumarteriosum; (6) Anterior mediastinal nodes - Anterior to ascending aorta or innominate artery; (7) Subcarinal nodes - Caudal to the carina of the trachea; (8M) Middle paraesophageal lymph nodes - From the tracheal bifurcation to the caudal margin of the inferior pulmonary vein; (8L) Lower paraesophageal lymph nodes - From the caudal margin of the inferior pulmonary vein to the esophagogastric junction; (9) Pulmonary ligament nodes - Within the pulmonary ligament; (10R) Right tracheobronchial nodes - From cephalic border if the azygous vein to the origin of RUL bronchus; (10L) Left tracheobronchial nodes - Between carina and LUL bronchus; (15) Diaphragmatic nodes - Lying on the dome of the diaphragm, and adjacent to or behind the crura; (16) Paracardial nodes - Immediately adjacent to the gastroesophageal junction; (17) Left gastric nodes - Along the course of the left gastric artery; (18) Common hepatic nodes - Along the course of common hepatic artery; (19) Splenic nodes - Along the course of splenic artery; (20) Celiac nodes - At the base of the celiac artery.
The lobar and (sub)segmental nodes (11 to 14) are not figured. (fromCasson AG, Rusch VW, Ginsberg RJ, Zankowicz N, Finley RJ. Lymph node mapping of esophageal cancer.Ann Thorac Surg. 1994; 58: 1569-1570 – with permission from Elsevier)