Physiology Of Mammary Gland Flashcards

1
Q

What is a mammary gland?

A

Specialized Skin structures

With simple tubulosecretory units of the sweat glands

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2
Q

How many ectoderm ridges does a mamary gland have

A

It has two on either side of ventral midline, with localized thickenings appearing on the mammary buds

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3
Q

What happens in men and women when it comes to mammary gland

A

In women mammary buds form duct system
In men development is suppressed by androgens= however martenal hormones cause some increase and milk secretion known as (witches milk) they however eventually become inactive

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4
Q

Explain hormones involved in mammary development

A
Estrogen= proliferation of mammary ducts
Progesterone= development of lobules and alveoli (milk production)
Prolactin= milk production
Oxytocin= myoepithelial cell contraction-excretion
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5
Q

Puberty and mammary gland.

A

Estrogen is a major influence on breast growth during puberty
It acts by development of prolactin-dependent (Estrogen-receptors)

As estrogen levels increase there is a increase in size of breast, pigmentation of areola, and formation of a breast mass beneath the areola (thelache)

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6
Q

What hormone increases after menstruation and what phase develop?

A
Estrogen and proliferative phase (Uterine cycle)
Folicular phase (ovarian cycle)
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7
Q

On day 14 what hormone spikes

A

Lutenizing hormone

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8
Q

On day 14 what does the increase of the LH lead to?

A

It leads to increase in progesterone and secretory phase

It also leads to corpus collosum and luteal phase

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9
Q

Does the cyclic changes of estrogen and progesterone affect the development of breast structures

A

Yes

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10
Q

When do levels of P&E fall during cycle

A

At the end of cycle

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11
Q

What does fall of p mean to prolactin

A

Prolactin-induced secretory changes become evident in alveolar lumen during first few days of menses
The breast are largest in this phase
Are smallest during day 4 -7 of cycle = breast exam

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12
Q

What happens during pregnancy

A

Differentiation of breasts to its mature functional status occurs by the 3rd month of pregnancy.
True glandular acini (true alveola) develop under influence of prolactin, human placenta, lactogen, estrodiol, progesterone, insulin, Cortisol, gh, IGF-1 and EGF.

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13
Q

Which hormones increase breast enlargement during pregnancy?

A

E and P, prolactin

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14
Q

Does milk occur in 2nd trimester

A

Yes

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15
Q

When is ideal time for milk

A

After birth, birth induces sudden increase in milk production with maximum production in 1-3 days

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16
Q

What other hormones promoter alveolar growth of glands

A

Thyroid hormones

17
Q

Increase of estradiol levels during pregnancy at hypothalamic level increases the secretion of what hormone

A

Prolactin

18
Q

Where does progesterone interfere with prolactin action

A

At the alveolar cell’s prolactin receptor level

19
Q

Name three ways on how P antagonises pro

A
  1. Inhibiting up-regulation of the prolactin receptor
  2. Reducing Oestrogen binding (which reduces lactogenic activity)
  3. Competing for binding at glucocorticoid receptor
20
Q

After pregnancy how many days does it take for hormones to reach non pregnancy state

A

7 days for prolactin deacrease up to 50%

3-4 days for E+P

21
Q

There is still a two told increase with suckling up to 3 - 6 months of which hormone

A

Prolactin

22
Q

How can prolactin be inhibited with drugs

A

With bromocriptine 2.5 mg b/d = an ergot alkaloid= dopamine agonist
Not for hypertension
Also breast binding
No nipple stimulation will cease lactation on 1week

23
Q

Whatis breasts in malescalled

A

Gynecomastia which occurs in 75% of mole newborns
70% in boys
Men over 50 years

24
Q

Which hormones lead to gynaecomastios

A

Increased estrogen levels = due to testicular and adrenocortical tumours, alteration in (SHBG), liver failure, oestrogen exposure
Increased aromatase activity= liver disease, hyperthyroidism, androgen insensitivity, obesity, XXY

25
Q

What other reason for gynecomastia

A

Deacreased androgens= kleinerfelters, anorchia,hypogonadism
Androgen/estrogen receptor defects
Estrogen receptor agonist: digoxin, phytoestrogens (weeds
Increased hcg
Pseudogynovomastia

26
Q

Hormones and breast cancer

A

35% breast ca in pre menopausal are estrogen dependent

Decreased circulating estrogen deacreased effect