15.1. Breasts - Normal Breast Anatomy Flashcards
What are Breasts?
- Secondary Sexual Feature of Females
2. Source of Nutrition for Neonates
What are the General Features of Breasts?
- Modified and Highly Specialised Sweat Gland
- No Special Capsule / Sheath
- Well Developed in Females (Present in Males too)
- Breast Size / Shape results from Genetic / Racial and Dietary Factors
Where are the Breasts located?
What is it located over?
- Vertical - 2nd / 3rd Rib to 6th Rib
- Transverse - Sternal Edge to Mid-Axillary Line
- Lies over the Deep Pectoral Fascia
- Axillary Tail / Process - A Small part of the Breast may extend to the Axillary Fossa
- Retromammary Space - Helps some degree of Movement
How does the Breast relate to the:
- Pectoralis Major?
- Serratus Anterior?
- Dermis?
- 2/3rds of the Breast Rests on the Pec. Major
- 1/3rd of the Breast Rests on the Ser. Anterior
- Firmly attached to the Dermis by the Suspensory Ligament of Cooper (Helps support the Lobules of the Gland)
What is the:
- Nipple?
- Areola?
- Prominence of the Breast
2. Pigmented Area around the Nipple
How many Lobes / Lobules of Glandular Tissue does Each Breast Contain?
Lobes - 8-10
Lobules - 15-20
What is Each Lobule of Glandular Tissue in the Breast drained by?
Lactiferous Duct - opens independently on the Nipple
Note - Each Duct has a Lactiferous Sinus (Dilated Portion)
What are the Features of the Nipple?
- No Fat
- No Hair
- Contains Collagenous Dense Connective Tissue, Elastic Fibres and Bands of Smooth Muscle
- The Tips of the Nipples are Fissured with Lactiferous Ducts opening into them
- Position - 4th Intercostal Space (Variable)
What are the Features of the Areola?
- Skin covering the Nipple
- Contains numerous Sweat and Sebaceous Glands
- Enlarge during Pregnancy
- Oily material Secreted by the Sebaceous Gland provides protective Lubricant for Nipple / Areola
What are the 4 Breast Quadrants?
- Superolateral Quadrant
- Superomedial Quadrant
- Inferolateral Quadrant
- Inferomedial Quadrant
Note - These are used in Description of Pathology
Where is the Axillary Tail Located?
Extension of the Breast Tissue in the Superlateral Quadrant
What are the Features of the Male Breast?
- Rudimentary throughout Life
- Formed by small Ducts without Lobules or Alveoli
- Little supporting Fibroadipose Tissue
- Temporary enlargement in Newborn / Puberty
How do the Breasts develop?
- Mammary Crests (Ridges) appear during the 4th Week
- Crests extend from Axillary Region to Inguinal Region
- Usually Disappear - Except in Pectoral Region
- Primary Mammary Buds - Secondary Mammary Buds - Lactiferous Ducts and their Branches
What are common Breast Related Symptoms?
- Gynecomastia - Postnatal Development of Rudimentary Lactiferous Ducts in Males
- Extra Breasts / Nipples - Polymastia / Polythelia
- Absence of Beast / Nipples - Amastia / Athelia
What is the Blood Supply to the Breast?
- Thoraco-Acromial Artery
- Lateral Thoracic Artery
- Internal Mammary (Thoracic) Artery
- Branches of the Axillary Artery
- Branches of the Internal Thoracic Artery
- Branches of some Intercostal Arteries