Breast Histology Flashcards

1
Q

what is the breast made up of

A

15-25 lobes- each consisting of a tubulo-acinar gland which drains via a series of ducts leading to the nipple

Adjacent to the secretory lobules is dense fibrous tissue, which is surrounded by fat

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2
Q

structure of the duct system

A

terminal ductules -> intralobular collecting duct -> the lactiferous duct for that lobe -> lactiferous sinus -> nipple

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3
Q

what lines the larger ducts

A

columnar epithelium

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4
Q

histology of the nipple

A

covered by highly pigmented keratinised stratified squamous epithelium
core of dense irregular connective tissue mixed with bundles of smooth muscle

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5
Q

changes in the breast during the luteal phase

A

epithelial cells increase in height
the lumina of the ducts become enlarged
small amounts of secretions appear in the ducts

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6
Q

what are the changes in the breast during 1st trimester of pregnancy

A

elongation and branching of smaller ducts

proliferation of the epithelial cells of the glands and the myoepithelial cells

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7
Q

what are the changes in the breast during 2nd trimester of pregnancy

A

secretory alveoli continue to mature

development of extensive rough ER

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8
Q

What changes in the breast occur throughout pregnancy

A

reduction in the amount of connective tissue and adipose

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9
Q

what stimulates the proliferation of secretory tissue and reduction of fibroid-fatty tissue seen in pregnancy

A

oestrogen and progesterone

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10
Q

composition of breast milk

A

88% water
1.5% protein
7% carbohydrate
3.5% lipid

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11
Q

what is passed to the baby through breast milk

A

ions
vitamins
IgA antibodies

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12
Q

where are the proteins in breast milk made

A

rER of the breast

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13
Q

what is merocrine secretion

A

rER makes protein, packaged in the gold apparatus and secreted via vesicles
merge with apical membrane and realise their contents into the duct system

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14
Q

what is apocrine secretion

A

lipid droplets bud off, surrounded by membrane and carrying a small about of cytoplasm

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15
Q

which hormones stimulates growth of ductile system

A

oestrogen

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16
Q

which hormone stimulates development of lobular system

A

progesterone

17
Q

Which hormone causes enlargement of mammory glands

A

prolactin

18
Q

which hormones stimulates milk production

A

prolactin

19
Q

which hormone causes milk to be ejected

A

oxytocin