Classification of Lymphoid Organs
Depending on their role in the maturation of immune cells, all lymphoid organs are divided into two large groups: primary and secondary.
1. Primary lymphoid organs (organa lymphoidea primaria): This group includes the foundational structures where immune cells originate:
- Bone marrow (medulla ossium).
- Thymus (thymus).
2. Secondary lymphoid organs (organa lymphoidea secundaria): Lymphocytes migrate here for further functional maturation:
- Regional lymph nodes (nodi lymphoidei regionales).
- Spleen (splen).
- Tonsils: palatine (tonsillae palatini), pharyngeal (tonsilla pharyngea), tubal (tonsillae tubarii), and lingual (tonsilla lingualis).
- Lymphoid nodules. They can be solitary (noduli lymphoidei solitarii), located in the walls of hollow organs of the respiratory and digestive systems, and aggregated (noduli lymphoidei aggregati), found in the wall of the ileum and the vermiform appendix.
Functions of Primary Lymphoid Organs
Primary organs play a key role in developing the body's defense system.
Bone marrow is the vital organ of hemocytopoiesis (blood formation). Its structures house stem cells that give rise to absolutely all types of blood cells (hemocytes) and lymph cells (lymphocytes).
The thymus is the central organ of immunogenesis. In addition, the gland performs an endocrine function by producing a hormone-like substance — thymosin. This secretion promotes an increase in the number of lymphocytes, globally enhances immunity, and actively participates in growth and skeletal development.
Lymphocyte differentiation is strictly compartmentalized:
- T lymphocytes (thymus-dependent) are formed in the thymus through the complex transformation of stem cells originating from the bone marrow.
- B lymphocytes are thought to differentiate from bone marrow cells themselves, as well as from lymphoid nodules in the appendix and ileum.
Following primary differentiation, lymphocytes migrate via the bloodstream to secondary lymphoid structures to complete their development.
Macroscopic Anatomy of the Thymus
The thymus (thymus) is an unpaired lymphoid organ with an elongated, asymmetrical shape.
In most cases, it consists of two closely apposed lobes: the right lobe (lobus dexter) and the left lobe (lobus sinister). Rarely, the organ may consist of three or four lobes. These structures are connected by a layer of loose connective tissue. The surface of the thymus is uneven and lobulated. Anatomically, the organ features a lower portion, which is the widest and forms the base, and tapering upper regions forming the apex of the gland.
Age-Related Anatomy and Topography of the Thymus
The topography and dimensions of the thymus change significantly during development.
At the seventh month of prenatal development (fetus): The thymus is located in the superior mediastinum. The organ has a cone shape, tapering superiorly. The lower margin of the thymus lies adjacent to the base of the heart (basis cordis) and large vessels. Laterally, it borders the medial surfaces of the lungs (facies medialis pulmonis), and its upper pole extends high into the neck region. During this period, the organ grows actively.
In the newborn: Thyhmus shifts, occupying the anterior part of the superior mediastinum and extending into the anterior mediastinum. The organ increases significantly in size, with its lobular structure clearly visible (two asymmetrical, tightly adjacent lobes).
- Syntopy: anteriorly, the thymus lies against the posterior surface of the sternum; posteriorly, its broad base covers the anterior surface of the pericardium and great vessels (aorta, pulmonary trunk, superior vena cava); laterally, it significantly overlaps the anterior borders of the lungs.
By birth, the thymus is a large immune organ occupying a substantial volume of the retrosternal space. It is in newborns that the thymus has its maximum mass relative to body weight.