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Lymph node and spleen under the microscope !

  • Organ

The lymph node filters lymph and the spleen filters blood. Under the microscope the node has a cortex and medulla; the spleen has white and red pulp.

Updated 2026-11-01

See it in 3D: Spleen · Neck lymph nodes

What it is

The lymph node and the spleen are secondary lymphoid organs built on a mesh of reticular fibres, but they filter different fluids and so look different. The node receives lymph through afferent vessels and passes it along sinuses between a cortex with follicles and a medulla with cords; the spleen receives no lymph and organizes its tissue around arteries. This page covers the microscopic structure; immune function is covered in the Immunology section.

Structure

  • Node: a connective tissue capsule with trabeculae; afferent vessels enter on the convex side and the efferent leaves at the hilum, with the artery and vein.
  • Node, path of lymph: subcapsular sinus → trabecular (cortical) sinuses → medullary sinuses → efferent vessel.
  • Node, outer cortex: B-cell follicles; primary follicles have no germinal centre, secondary follicles have a pale germinal centre ringed by a dark mantle zone.
  • Node, paracortex: a T-cell zone with high endothelial venules, where lymphocytes leave the blood to enter the node.
  • Node, medulla: medullary cords with plasma cells and macrophages, separated by medullary sinuses.
  • Spleen: capsule and trabeculae, no cortex or medulla and no afferent lymphatics.
  • Spleen, white pulp: the periarteriolar lymphoid sheath (T cells) around the central artery and B-cell follicles; the marginal zone surrounds it.
  • Spleen, red pulp: splenic cords (of Billroth) and venous sinusoids lined by elongated «barrel-stave» endothelium on a discontinuous basal lamina, which red cells must squeeze through.

How to tell the lymphoid organs apart under the microscope

OrganLayoutGiveaway featureEpithelium and lymphatics
Lymph nodeComplete capsule; cortex with follicles, paracortex and medulla with cordsSubcapsular sinus under the capsule and high endothelial venules in the paracortexNo epithelium; afferent lymphatics on the convex side, efferent at the hilum
SpleenCapsule with trabeculae; scattered white pulp in abundant red pulpFollicles with an off-centre central artery and lots of blood around themNo epithelium; no afferent lymphatics, efferent only
ThymusLobules with a dark cortex and a pale medullaHassall's corpuscles in the medulla; no follicles or germinal centresMesh of thymic epithelial cells; no afferent lymphatics
Palatine tonsilNo complete capsule; follicles with germinal centres under an epitheliumDeep crypts lined by non-keratinized stratified squamous epitheliumSurface epithelium; no afferent lymphatics, efferent only

Markers

  • Silver stain: reticular fibres (type III collagen)
  • CD20: B follicles
  • CD3: paracortex and periarteriolar sheath
  • CD138: medullary plasma cells

Clinical notes

  • Viral infections tend to expand the paracortex; antibody responses expand the follicles and their germinal centres.
  • In sickle cell disease, repeated infarcts leave a small, scarred spleen (autosplenectomy).
  • Traumatic rupture of the spleen bleeds heavily because the red pulp is a large blood reservoir.

Test yourself

Think of the answer, then tap the question to see it.

Which zone of the lymph node is rich in T cells?

The paracortex, between the cortical follicles and the medulla.

Why does the spleen have no subcapsular sinus?

It receives no lymph through afferent vessels: it filters blood, not lymph.

What surrounds the central artery in the splenic white pulp?

The periarteriolar lymphoid sheath, made mostly of T cells.

What feature of splenic sinusoids forces red cells to deform?

Elongated endothelial cells with slits between them and a discontinuous, ring-like basal lamina.

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Microorganisms

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Educational content on normal microscopic structure and its clinical relevance; no substitute for studying slides or for a health professional's advice.

Sources: 21.1 Anatomy of the Lymphatic and Immune Systems (OpenStax, Anatomy and Physiology 2e, 2022); Lymph Nodes (NCI SEER Training Modules, 2026); Spleen (NCI SEER Training Modules, 2026).

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Representative model, for educational purposes only.