Lymph system

Lymph is a clear-to-white fluid made of:

• White blood cells, especially lymphocytes, the cells that attack bacteria in the blood and body tissues
• Fluid from the intestines called chyle, which contains proteins and fats

Lymph nodes are soft, small, round- or bean-shaped structures. They usually cannot be seen or easily felt. They are located in clusters in various parts of the body, such as the:

• Neck
• Armpit
• Groin
• Inside the center of the chest and abdomen

Watch this video about:Lymph nodes

Lymph nodes mainly store immune cells that help the body fight infection but are also places where these cells can be made. They also filter the lymph fluid and remove foreign material such as bacteria and cancer cells. When bacteria are recognized in the lymph fluid, the lymph nodes make more infection-fighting white blood cells. This causes the nodes to swell. The swollen nodes are sometimes felt in the neck, under the arms, and groin.

The lymph system includes the:

• Tonsils
• Adenoids
• Spleen
• Thymus

Lymphatic system

Ball JW, Dains JE, Flynn JA, Solomon BS, Stewart RW. Lymphatic system. In: Ball JW, Dains JE, Flynn JA, Solomon BS, Stewart RW, eds. Seidel's Guide to Physical Examination. 10th ed. Philadelphia, PA: Elsevier; 2023:chap 10.

Hall JE, Hall ME. The microcirculation and lymphatic system: capillary fluid exchange, interstitial fluid, and lymph flow. In: Hall JE, Hall ME, eds. Guyton and Hall Textbook of Medical Physiology. 14th ed. Philadelphia, PA: Elsevier; 2021:chap 16.

Updated by: Linda J. Vorvick, MD, Clinical Professor, Department of Family Medicine, UW Medicine, School of Medicine, University of Washington, Seattle, WA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.