Breast Flashcards
what causes the inversion of the nipple in breast cancer?
contraction of lactiferous ducts
Peau d’ orange
interference with the lymphatic drainage of the breast
Larger dimpling
shortening of cooper’s ligament
Location of Breast Carcinoma
Upper lateral quadrant
Winging of scapula
long thoracic nerve
difficulty in horizontal extension of upper extremities
thoracodorsal nerve
loss of sensation on the upper inner aspect of arm
intercostal nerve
difficulty in lifting her child, flapping her arms, and doing arm wrestling
medial pectoral nerve
Blood supply of the breast
- internal thoracic artery from subclavian artery
- lateral thoracic and thoracoacromial artery from axillary
- posterior intercostal from thoracic aorta
Venous drainage of the breast
- lateral thoracic and thoracoacromial vein to axillary vein
- internal thoracic vein
Lateral Quadrant of Breast Lymph Drainage
axillary LN
Medial Quadrant of Breast Lymph Drainage
Parasternal Nodes
Opposite breast
Composition of axillary lymphnodes
Level 1 a. anterior/pectoral b. posterior/scapular c. lateral/humeral Level 2 a. central Level 3 a. Apical
Inferior Quadrant of Breast Lymph Drainage
Sub diaphragmatic inferior phrenic lymph nodes
Motor Innvervation of diaphragm
Phrenic Nerve
sensory innervation of diaphragm
Central - phrenic
Peripheral - intercostal nerves
Thoracic duct empties into
left brachiocephalic vein
Drainage of right lymphatic duct
- right side of head and neck
- right side of thorax
- right upper limb
Caval opening
T8
Contents of the Caval Opening
- IVC
2. Right Phrenic Nerve
Aortic opening
T12
Contents of the Aortic opening
- Aorta
- Thoracic Duct
- Azygous Vein
Esophagial Opening
T10
contents of the Esophageal opening
- esophagus
2. vagus nerve