Histology of the Breast Flashcards

1
Q

What kind of gland is the breast?

A

Subcutaenous

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2
Q

Describe the overall structure of the breast

A
  • made up of 15-25 lobes, each consisting of a compound tubulo-acinar gland, drains via a serious of ducts leading to the nipple
  • dense fibrous tissue adjacent to the lobules, surrounded by adipose tissue
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3
Q

What are suspensory ligaments?

A

some larger condensations that extend from the dermis of the skin to the deep fascia overlying the muscle of the anterior chest wall

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4
Q

What is the basic functional unit of the breast?

A

Terminal duct lobular unit

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5
Q

What do terminal ductules lead to?

A

Lead into an intralobular collecting duct which leads into the lactiferous duct for that lobe

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6
Q

What do lactiferous ducts lead to?

A

Nipple, passing through an expanded duct region near the nipple termed the lactiferous sinus

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7
Q

What is present inside a mamary gland

A

Atery and vein pain

Secretory Lobules

Fibrocollagenous tissue

Adipose tissue

Ducts

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8
Q

The lobule exhibits both _______ and _______ ducts, rudimentary secretory _____ and is surrounded by dense _______ ________ tissue.

Looser connective tissue surrounds the ______ within the lobule (allowing for rapid _________ during _______)

There is _______ tissue present between lobules

A

The lobule exhibits both extralobular and intralobular ducts, rudimentary secretory acini and is surrounded by dense fibrocollagenous connective tissue.

Looser connective tissue surrounds the acini within the lobule (allowing for rapid expansion during pregnancy)

There is adipose tissue present between lobules

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9
Q

Within the lobule the secretory ________ cells line the acini and vary from ______ to _______

A

Within the lobule the secretory epithelial cells line the acini and vary from cuboidal to columnar

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10
Q

The secretory cells of the acinus are surrounded by ________ cells (MEp) which appear ____. These are ________ epithelial cells which are in turn surrounded by the _____ _______.

A

The secretory cells of the acinus are surrounded by myoepithelial cells (MEp) which appear pink. These are contractile epithelial cells which are in turn surrounded by the basal lamina.

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11
Q

What lines larger ducts such as the lactiferous duct?

A

Lined by epithelium that varies from a thin stratified squamous to a stratified cuboidal

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12
Q

What may be seen in staining a lactiferous duct

A

Red staining of coagulated proteinaceous material

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13
Q

What do mammary glands resemble?

A

Modified sweat glands

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14
Q

The nipple has a wrinkled surface and is covered by a thin, highly pigmented ________ ______ ______ epithelium. It has a core of ____ ______ _______ tissue mixed with bundles of ______ muscle.

A

The nipple has a wrinkled surface and is covered by a thin, highly pigmented keratinized stratified squamous epithelium. It has a core of dense irregular connective tissue mixed with bundles of smooth muscle.

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15
Q

As the lactiferous duct approaches the surface, it becomes lined by ______ _______ epithelium, however deeper it is lined by _______ ________ epithelium.

Deeper still the duct lining may become only ___ cell thick.

Several sebaceous glands are present, and in it is clear that these end directly on the _____ __ ___ ____. The core of the nipple has __________ tissue mixed with _____ muscle bundles.

A

As the lactiferous duct approaches the surface, it becomes lined by stratified squamous epithelium, however deeper it is lined by stratified cuboidal epithelium.

Deeper still the duct lining may become only one cell thick.

Several sebaceous glands are present, and in it is clear that these end directly on the surface of the skin. The core of the nipple has fibrocollagenous tissue mixed with smooth muscle bundles.

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16
Q

What hapens during the luteal phase?

A

During the luteal phase the epithelial cells increase in height, the lumina of the ducts becomes enlarged and small amounts of secretions appear in the ducts.

17
Q

What happens in the first trimester?

A

elongation and branching of the smaller ducts, combined with proliferation of the epithelial cells of the glands and the myoepithelial cells

18
Q

What happens in the second trimester?

A

Glandular tissue continues to develop with differentiation of secretory alveoli.

Plasma cells and lymphocytes infiltrate the nearby connective tissue

19
Q

What happens in the third trimester?

A

secretory alveoli continue to mature, with development of extensive rER

20
Q

What happens in the breast through the whole of pregnancy

A

Reduction in the amount of connective tissue and adipose tissue present

21
Q

During pregnancy ________ and _______ stimulate proliferation of ________ tissue and fibro-fatty tissue becomes sparse.

A

During pregnancy oestrogen and progesterone stimulate proliferation of secretory tissue and fibro-fatty tissue becomes sparse.

22
Q

The composition of human milk is approximately;

__% water

__% Protein (mainly ______ and _____)

_% carbohydrate (mainly ______)

__% lipid

With small quantities of; ____, ______ and ___ _______

A

The composition of human milk is approximately;

88% water

1.5% Protein (mainly lactalbumin and caesin)

7% carbohydrate (mainly lactose)

3.5% lipid

With small quantities of; ions, vitamins and IgA Antibodies

23
Q

How are lipid droplets secreted from the breast?

A

Apocrine secretion

Surrounded by membrane and carrying a small amount of cytoplasm with it

24
Q

Where are the proteins in milk made and packaged?

A

made in the rER, packaged in the golgi apparatus

25
Q

How are the proteins in milk secreted?

A

secreted via vesicles which merge with the apical membrane to release only their contents into the system.

This is merocrine secretion (exocytosis)

26
Q

What happens to the mammary gland after menopause?

A

The secretory cells of the TDLU degenerate leaving only ducts

In the connective tissue, there are fewer fibroblasts and reduced collagen and elastic fibres