11 Interesting Facts About Lymph Nodes

The human body is an amazing thing. For each one of us, it's the most intimate object we know. And yet most of us don't know enough about it: its features, functions, quirks, and mysteries. Our series The Body explores human anatomy, part by part. Think of it as a mini digital encyclopedia with a dose of wow.

The lymphatic system is a crucial part of your body's ability to fight off infection and viruses. It's a key player in the immune system that functions by circulating lymphatic fluid through a series of lymph vessels all throughout your body. This fluid gathers up anything foreign, such as viruses and bacteria from your body tissues and flushes them to your lymph nodes, where immune cells attack whatever isn't helping your body. 

Mental Floss spoke to Adriana Medina, an internal medicine doctor with a specialty in hematology and oncology at the Alvin and Lois Lapidus Cancer Institute at Sinai Hospital in Baltimore, Maryland, about these important tissues. 

1. THERE ARE HUNDREDS OF NODES.

They're about size and shape of a pea, and hundreds of them are scattered all throughout the body. In order to fight many little pathogens and clear out unhelpful debris, your body needs a lot of nodes to rally to these causes, according to Medina. 

2. LYMPH NODES ARE HOME TO IMPORTANT IMMUNE CELLS.

"The lymph nodes are in charge of harboring lymphocytes," says Medina. Your body makes two main types of these immune cells, B-lymphocytes and T-lymphocytes (or B- and T-cells), which are crucial to your body's ability to fight off infections of all kinds. There are many sub-classes of the T-cells because "they are very important to attack infection," says Medina.

3. LYMPHOCYTES ESCORT FOREIGN INVADERS OUT.

When your lymph nodes receive some sort of foreign debris they recognize isn't ours, Medina says, "the B-lymphocytes are in charge of making antibodies." These antibodies "leave with the toxic substance," and signal other immune cells to come in and attack the cells.

4. WHERE DO ALL THE TOXINS GO?

Once the lymphatic fluid has grabbed up its targets, most of it returns to your blood stream, Medina explains, which is why it's so important for lymph cells to do their job: kill what aims to harm you before it gets flushed back into your system.

5. THERE ARE MANY CAUSES OF SWOLLEN LYMPH NODES.

When your immune system senses a foreign invader, be it a virus, bacteria, vaccine, or even some medications, it preps the lymph nodes to make antibodies and lymphocytes to fight off the offender. This also increases the amount of lymphatic fluid in the node, which can make it swollen and tender. Most of the time swollen lymph nodes are not a big cause for concern.

6. A HARD, RUBBERY LYMPH NODE IS A PROBLEM.

A lymph node that is harder rather than soft and persists for several weeks is worth a doctor visit. While lymph nodes can be tender or swollen and mobile when infected, "when there is a [cancerous] malignance…they're hard, rubbery, they don't move, and they don't go away. The lymph nodes are always telling us something."

7. YOU ARE THE PUMP FOR YOUR LYMPHATIC SYSTEM.

Unlike your blood, which has the heart to pump it through your body, your lymphatic fluid doesn't have a pump. Instead, it relies upon gravity and pressure, which you create when you move around, as well as light massage.

8. WHERE YOU FIND VEINS, YOU FIND LYMPHATIC VESSELS.

The lymphatic system and the circulatory system are separate systems, but connected, running in tandem like underground networks of streams. "Lymphatic vessels are distributed along the body wherever we have arteries [or] veins," says Medina.

9. YOUR LYMPH NODES AND YOUR SPLEEN WORK TOGETHER.

"The spleen is like one big lymph node," Medina says of the organ that lives between your stomach and diaphragm. "The spleen is able to produce additional blood cells in case we need it to." Additionally, she explains, many toxic substances are filtrated through the spleen. However, if something happens to your spleen and it needs to be removed, you can live without it; you just may become more prone to infection and require more vaccinations to protect you against aggressive viruses.

10. STAGES OF CANCER ARE DETERMINED BY THE NUMBER OF AFFECTED LYMPH NODES.

The easiest cancers to treat are those that remain in the tissue where they first occur. However, in metastatic cancers, cancer cells migrate to the lymph nodes, which can cause cancer to spread. "When the cancer is detected in lymph nodes, we have to try to find out how many lymph nodes are involved," Medina says. "Lymph node involvements [determines] the prognosis of the cancer." When lymph node involvement occurs, "the treatment has to be more aggressive," she says, often adding radiation to a regime of chemotherapy and other drugs.

11. RESEARCHERS ARE TURNING THE BODY'S OWN LYMPHOCYTES INTO CANCER FIGHTING TREATMENTS.

Breakthroughs in immunotherapy known as Car T-cell therapy turn the body's own immune system into a weapon against cancer by engineering patients' own immune cells to recognize and attack their tumors, according to the National Cancer Institute. "What's happening—it's just beautiful—is that [researchers] are using B-lymphocytes to fight not only breast cancer, but leukemia and lymphomas," Medina explains. "The results are so good and encouraging, changing chances of survival."

10 Facts About Your Tonsils

iStock/Neustockimages
iStock/Neustockimages

Most of us only become aware of our tonsils if they become swollen or infected. But these masses of lymphatic tissue in the mouth and throat are important immunological gatekeepers at the start of the airways and digestive tract, grabbing pathogens and warding off diseases before they reach the rest of your body. Here are some essential answers about these often-overlooked tissues—like what to do when your tonsils are swollen, and whether you should get your tonsils removed.

1. People actually have four kinds of tonsils.

The term tonsils usually refers to your palatine tonsils, the ones that can be seen at the back of your throat. But tonsillar tissue also includes the lingual tonsil (located in the base of the tongue), tubal tonsils, and the adenoid tonsil (often just called adenoids). "Collectively, these are referred to as Waldeyer's ring," says Raja Seethala, the director of head and neck pathology at the University of Pittsburgh Medical Center and a member of the College of American Pathologists Cancer Committee.

2. Tonsils are one of the body's first responders to pathogens.

The tonsils are a key barrier to inhaled or ingested pathogens that can cause infection or other harm, Seethala tells Mental Floss. "These pathogens bind to specialized immune cells in the lining—epithelium—to elicit an immune response in the lymphoid T and B cells of the tonsil," he says. Essentially, they help jumpstart your immune response.

3. Adenoid tonsils can obstruct breathing and cause facial deformities.

If the adenoid tonsils are swollen, they can block breathing and clog up your sinus drainage, which can cause sinus and ear infections. If adenoids are too big, it forces a person to breathe through their mouth. In children, frequent mouth breathing has the potential to cause facial deformities by stressing developing facial bones. "If the tonsils are too large and cause airway obstruction, snoring, or obstructive sleep apnea, then removal is important," says Donald Levine, an ear, nose, and throat specialist in Nyack, New York. Fortunately, the adenoids tend to get smaller naturally in adulthood.

4. As many of us know, sometimes tonsils are removed.

Even though your tonsils are part of your immune system, Levine tells Mental Floss, "when they become obstructive or chronically infected, then they need to be removed." The rest of your immune system steps in to handle further attacks by pathogens. Another reason to remove tonsils besides size, Levine says, is "chronic tonsillitis due to the failure of the immune system to remove residual bacteria from the tonsils, despite multiple antibiotic therapies."

5. Tonsillectomies have been performed for thousands of years ...

Tonsil removal is believed to have been a phenomenon for three millennia. The procedure is found in ancient Ayurvedic texts, says Seethala, "making it one of the older documented surgical procedures." But though the scientific understanding of the surgery has changed dramatically since then, "the benefits versus harm of tonsillectomy have been continually debated over the centuries," he says.

6. ... and they were probably quite painful.

The first known reported case of tonsillectomy surgery, according to a 2006 paper in Otorhinolaryngology, is by Cornélio Celsus, a Roman "encylopaediest" and dabbler in medicine, who authored a medical encyclopedia titled Of Medicine in the 1st century BCE. Thanks to his work, we can surmise that a tonsillectomy probably was an agonizing procedure for the patient: "Celsus applied a mixture of vinegar and milk in the surgical specimen to hemostasis [stanch bleeding] and also described his difficulty doing that due to lack of proper anesthesia."

7. Tonsil removal was performed for unlikely reasons.

The same paper reveals that among some of the more outlandish reasons for removing tonsils were conditions like "night enuresis (bed-wetting), convulsions, laryngeal stridor, hoarseness, chronic bronchitis, and asthma."

8. An early treatment for swollen tonsils included frog fat.

As early practitioners struggled to perfect techniques for removing tonsils effectively, another early physician, Aetius de Amida, recommended "ointment, oils, and corrosive formulas with frog fat to treat infections."

9. Modern tonsillectomy is much more sophisticated.

A common technique today for removing the tonsils, according to Levine, is a far cry from the painful early attempts. Under brief general anesthesia, Levine uses a process called coblation. "[It's] a kind of cold cautery, so there is almost no bleeding, less post operative pain, and quicker healing. You can return to normal activities 10 days later," Levine says.

10. Sexually-transmitted HPV can cause tonsil cancer.

The incidence of tonsillar cancers is increasing, according to Seethala. "Unlike other head and neck cancers, which are commonly associated with smoking and alcohol, tonsillar cancers are driven by high-risk human papillomavirus (HPV)," he says. "HPV-related tonsillar cancer can be considered sexually transmitted."

26 Amazing Facts About the Human Body

Mental Floss via YouTube
Mental Floss via YouTube

At some point in your life, you've probably wondered: What is belly button lint, anyway? The answer, according to Mental Floss editor-in-chief Erin McCarthy, is that it's "fibers that rub off of clothing over time." And hairy people are more prone to getting it for a very specific (and kind of gross-sounding) reason. A group of scientists who formed the Belly Button Biodiversity Project in 2011 have also discovered that there's a whole lot of bacteria going on in there.

In this week's all-new edition of The List Show, Erin is sharing 26 amazing facts about the human body, from your philtrum (the dent under your nose) to your feet. You can watch the full episode below.

For more episodes like this one, be sure to subscribe here.

SECTIONS

arrow
LIVE SMARTER