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Anatomy · Tongue: lymphatic drainage
Sample itemA 55-year-old man has a squamous cell carcinoma at the tip of the tongue. Which lymph nodes drain it first?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Submental nodes of both sides
The tip of the tongue drains to the submental nodes, and may drain bilaterally. The lateral (marginal) part of the anterior two-thirds drains to the submandibular nodes, the central part drains to the deep cervical nodes, and the posterior third drains bilaterally to the upper deep cervical nodes. Knowing the pathways guides neck dissection.
Option by option
A. Preauricular nodes
The preauricular nodes drain the temple, cheek and part of the eyelids.
B. Retropharyngeal nodes
The retropharyngeal nodes drain the nasopharynx and posterior pharynx.
C. Occipital nodes
The occipital nodes drain the posterior scalp.
D. Submental nodes of both sides (correct)
Correct. The tip drains to the submental group, often on both sides.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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