Ch. 18 (Breasts & Regional Lymphatics)

Question 1

What anatomical region is characterized as the breast tissue that extends to the upper outer quadrant into the axilia?

Answer 1

tail of spence

Question 2

Where do most breast tumors originate from?

Answer 2

tail of spence (upper outer quadrant into the axilia)

Question 3

What are the glands that go with the areola and secrete lubrication to keep the nipple fermented from cracking?

Answer 3

montgomery glands

Question 4

What kind of tissue in the breast is present in about fifteen to twenty lobes, and drains milk out to the nipple?

Answer 4

glandular tissue

Question 5

What produces milk in glandular tissue?

Answer 5

alveoli

Question 6

What are fibrous bands that attach breast tissue to the chest wall muscles?

Answer 6

cooper’s ligaments

Question 7

What kind of tissue, that is present in the breast, is classifed as fat and provides the breast its bulk like appearance?

Answer 7

adipose tissue

Question 8

On a scale of small to a lot…

How much lymph nodes are present in the breast?

Answer 8

A LOT

very extensive

Question 9

How do you perform a breast examination on a pt?

Answer 9

• pt supine w/one arm under head
• use pads of 3 fingers, in rotary motion
• start outward and spiral inward (or lawnmower technique)
• note nipple discharge

Question 10

When inspecting the nipples of a pt, is everted or inverted more normal? Which would you ask the pt more about?

Answer 10

1. everted
2. inverted (usually if it’s new or baseline)

Question 11

When a lump is noticed during a breast examination, what characteristics should you note in relation to the lump itself?

Answer 11

• location (in terms of a clock)
• size (measure it!)
• shape
• consistency
• mobility

Question 12

What website can someone use to help determine their risks for developing breast cancer in comparison to someone their age?

Answer 12

the gail model

Question 13

What are some abnormal breast findings?

Answer 13

• dimpling
• edema - peau drange (lymph obstruction)
• nipple retraciton
• fixation
• deviation in nipple pointing

Question 14

What are the different types of abnormal breast lumps?

Answer 14

• benign breast (fibrocystic breast disease)
• cancer
• fibroadenoma

Question 15

What type of abnormal breast lump occurs in 50% of cases and is cyclic, bilateral nodularity and sometimes rubbery?

Answer 15

benign breast disease

Question 16

What type of abnormal breast lump is characterized as a solidary, unilateral, nontender, irregular and can be fixed?

Answer 16

cancer

Question 17

What type of abnormal breast lump is characterized as a solidary, non tender benign, firm (like a marble) mass that is common between the ages fifteen to thirty years old?

Answer 17

fibroadenoma

Question 18

What type of abnormal breast finding is characterized as unilateral, sometimes palpable lump that gives off bloody discharge from the nipple?

Answer 18

carcinoma

Question 19

What are some concerning symptoms that can come with nipple discharge?

Answer 19

• bloody or clear, gray
• unilateral

Question 20

What type of abnormal breast finding is characterized as enlargement of the breast tissue?

Answer 20

gynecomastia