Assessing Breasts And Lymphatic System

Question 1

External Breast Anatomy

Answer 1

Skin
Nipple
Areola
Hair follicles
Smooth muscle fibers
Milk Line

Question 2

4 quadrants of breast

Answer 2

Upper outer
- tailed of spence: common site for breast tumors
Upper inner
Lower outer
Lower inner

Question 3

Internal anatomy of breast

Answer 3

Glandular - 15 to 20 lobes
- milk production

Fibrous - support for glandular tissue by bands called cooper’s ligaments (suspensory ligaments)

Fatty tissue

Major axillary lymph nodes

Question 4

Abnormal Findings for breasts

Answer 4

• Peau d’ orange – orange peel texture of the breast.
• Supernumerary nipples – milk line.
• Gynecomastia – enlargement of breast tissue in
  men; may be due to puberty, hormonal imbalance, drug abuse, cirrhosis, leukemia, or thyrotoxicosis.
• Paget’s disease – redness, mild scaling, and flaking of the nipple.
• Retracted nipple – suggests malignancy.

Question 5

Benign cyst lesion
Common to age 30 t9 menopause

Answer 5

Fibrocystic breast disease

Question 6

Malignant tumors; mostly found in upper outer quadrant.
Usually unilateral with irregular, poorly delineated borders.
Hard and nontender and fixed to underlying tissues.

Answer 6

Breast Cancer

Question 7

Benign tumor.
Lesions are lobular, ovoid, or round.
Firm, well-defined, singular, and mobile.
Occur commonly between puberty and menopause.

Answer 7

Fibroadenoma

Question 8

can have optional mammograms provided that there is no family history of breast cancer.

Answer 8

40-44

Question 9

annual mammography.

Answer 9

45-54

Question 10

mammography every other year and
annual screenings.

Answer 10

55 and above

Question 11

Hormone for milk production

Answer 11

Prolactin

Question 12

hormone for milk release; stimulated by nipple sucking; release by pituitary gland.

Answer 12

Oxytocin