Apical lymph nodes

An apical (or medial or subclavicular) group of six to twelve glands is situated partly posterior to the upper portion of the Pectoralis minor and partly above the upper border of this muscle.

Apical lymph nodes
Lymphatics of the mamma, and the axillary glands. (Subclavicular group labeled at upper right.)
Axillary lymphatic plexus Cubital lymph nodes (not part of the lymph node drainage of the breast) Superficial axillary (low axillary) Deep axillary lymph nodes Brachial axillary lymph nodes Interpectoral axillary lymph nodes (Rotter nodes) Paramammary or intramammary lymph nodes Parasternal lymph nodes (internal mammary nodes)
Details
System	Lymphatic system
Source	central, deltopectoral
Drains to	subclavian trunk
Identifiers
Latin	nodi lymphoidei axillares apicales
TA98	A13.3.01.003
TA2	5237
FMA	14190 71742, 14190
Anatomical terminology

Its only direct territorial afferents are those that accompany the cephalic vein, and one that drains the upper peripheral part of the mamma. However, it receives the efferents of all the other axillary glands.

The efferent vessels of the subclavicular group unite to form the subclavian trunk, which opens either directly into the junction of the internal jugular and subclavian veins or into the jugular lymphatic trunk; on the left side it may end in the thoracic duct.

A few efferents from the subclavicular glands usually pass to the inferior deep cervical glands.