The Pectoral Region Flashcards

1
Q

Surface features of the pectoral region

A
  • Clavicle
  • Sternum
  • Suprasternal notch
  • Sternal angle
  • Nipple
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2
Q

What type of gland are mammary glands?

A

Modified sweat glands (apocrine)

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3
Q

Location of mammary glands

A

In the superficial fascia (except axillary tail)

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4
Q

Extent of mammary glands

A
  • From 2nd to 6th rib (vertical)
  • Lateral border of sternum to midaxillary line (horizontal)
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5
Q

Where does the axillary tail pass?

A

Through an opening in the deep fascia (Foramen of Langer)

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6
Q

Deep relations of mammary gland

A
  • Retromammary space (lake of Mercille)
  • Deep fascia covering pectoralis major
  • Some part of serratus anterior and external oblique abdominis
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7
Q

What is the function of the retromammary space?

A
  • Helps in breast mobility
  • Passage of vessels
  • Space for implants
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8
Q

Structure of breast

A

Skin:
> Nipple
> Areola

Parenchyma:
> Compound tubulo-alveolar gland
> 15-20 lactiferous glands drain into nipple

Stroma:
> Supporting framework
> Connective and adipose tissue

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9
Q

Location of nipple

A

Height of 4th ICS, 10cm from midline

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10
Q

What muscles are in the nipple?

A

Circular and longitudinal

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11
Q

What glands are in the areola?

A

Modified sebaceous glands (Tubercles of Montgomery)

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12
Q

How many lactiferous lobules are there in the parenchyma and how are they arranged?

A

15-20, radially arranged

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13
Q

What do the lactiferous sinuses in the parenchyma do?

A

Store milk in lactating breasts

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14
Q

What is the connective tissue stroma comprised of?

A
  • Inframammary ligament
  • Suspensory ligaments of Cooper
  • Adipose tissue
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15
Q

What do the suspensory ligaments of Cooper provide?

A

Support and firmness

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16
Q

Types of lymphatics in the breast and what they drain

A
  • Superficial lymphatics (skin except areola and nipple)
  • Deep lymphatics (parenchyma, areola and nipple)
17
Q

What nerves supply the breast?

A

4th to 6th IC nerves

18
Q

What dermatome carries sensation from nipple and areola?

A

T4 spinal nerve dermatome