Anatomy Bones and Muscles · MU Pleven

83. Mammary gland

Covers the mammary gland's development and shape in both sexes, its position and extent on the chest wall, and its blood supply and innervation. It then describes the nipple, areola, lobes, lactiferous ducts and fibrous and fatty supporting framework, followed by superficial and deep lymphatic drainage with the routes to axillary, parasternal and abdominal nodes. Several pictures illustrate the structure and drainage.

Inside: 5 sections · 5 labelled pictures · 12 flashcards · 3 min

Topic 82 of 236 in the MU Pleven syllabus for Anatomy Bones and Muscles (Medicine, Year 2). The free AceMed note covers it in 5 sections, about 488 words (3 min of reading), with 12 flashcards.

In this note

  1. BREAST
  2. Blood supply :
  3. Innervation :
  4. Structure of the breast
  5. Lymphatic drainage of the breast

BREAST

  • They are modified sweat glans in the superficial fascia of the pectoral region in both sexes.
  • In females it reaches its full development at puberty, and is rudimentary in males.
  • Hemispherical in shape. ↪ due to high fat content.
  • It extends ventrically from 2ed to 6th rib (midclavicular line), and horizontally from lateral border of the sternum to the mid-axillary line. ↪ In females who have never given birth.
  • It may have an extension (axillary tail) which penetrate the deep pectoral fascia to be present in the axilla.

Blood supply :

  • Venous drainage: through veins corresponding to the arteries.

Innervation :

2ed - 6th intercostal nerves.

has no fibrous capsule. → If there is the breast couldn't change its size

* After the first pregnancy the color of the nipple and areola becomes dark brown.

Structure of the breast

  1. 1. The nipple :
  • light brown conical projection below the center of the breast.
  • It lies at the level of 4th intercostal space.
  • It is penetrated by 15-20 lactiferous ducts.
  1. 2. The areola :
  • area of the skin surrounding the nipple
  • It contains sebaceous glands which enlarges during pregnancy to form tubercles of Montogermy.
  1. 3. The glandular tissue:
  2. 3.1 lobes : - 15-20 lobes - Formed of alveoli and drained by one lactiferous duct.
  1. 3.2 Lactiferous ducts : - Each duct form a dilation called. lactiferous sinus before it opens into the nipple.
  2. 4. Fibrous Supporting framework:
  3. 4.1 Fibrous stroma (Suspensory ligaments) : - Passing between lobes, and binding the skin of the breast to the underlying pectoral fascia.
  4. 4.2 Fatty stroma : - forms the main bulk of the breast. It present all over the breast except nipple and sub-areolar area.

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