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Breast Revision
 Mohd Fit’ri Akmal
  Ezwan Razmie
Breast Anatomy
• Composed of 15-20 pyramid-shaped lobes.
• Separated and supported by Cooper ligaments.
• Each lobes contains 20-40 lobules.
• Each lobules subdivided into glandular alveoli.
• Alveoli composed of secretory acini.
• Alveoli empty into lactiferous ducts.
• Ducts reach the skin through 9-10 pore in the
  nipple.
• Each lobes and lobules separated and supported
  by muscle strands and fatty connective tissue.
Breast Anatomy
• Supplied by the perforating branches of the
  internal mammary artery, thoracoacromial artery,
  internal and lateral thoracic artery and intercostal
  arteries.
• Venous return follows arterial supply, empty into
  superior vena cava.
• Lymphatic drainage through axillary nodes and
  transpectoral nodes.
• Receive sensory innervation from 2nd through 6th
  intercostal nerves and cervical plexus
1.Chest wall
2.Pectoralis
  major
3.Lobules
4.Nipple
5.Areola
6.Lactiferous
  ducts
7.Fatty tissue
8.Skin
Nipple & Areola Anatomy
• Nipple is a pigmented, cylindrical structure.
• Usually located at the 4th or 5th intercostal
  space.
• On surface, lies multiple openings. One from
  each lobes.
• Areola is the circular pigmented area
  surrounding the nipple.
• Contains a number of Montgomery glands.
Nipple & Areola Anatomy
• Nipple and areola contains smooth muscle.
• Motor innervation from sympathetic nervous
  system.
Breast anatomy&physiology
Breast Physiology
     Stage                               Development

Fetal         Breast tissue begins to develop around the sixth week in utero.
Development
Prepuberty    Ducts are present but nonfunctional – resting state.

Puberty       Ducts elongate due to estrogen; breast bud appears.

Young Adult   Progesterone influence initiation of ovulation; ducts elongate; side
              branches of ducts and lobular elements form.
Maturity      Lobular elements are well formed.

Pregnancy     Distal ducts grow and branch; breast enlarge to twice it’s normal
              weight; increase in mammary blood flow; vascular engorgement
              and areolar pigmentation.
Menopause     Lobules begin to recede, leaving mostly ducts, adipose tissue and
              fibrous tissue.
References
1. Pathophysiology 6th edition
2. http://www.medscape.org/viewarticle/5489
   21_5

More Related Content

Breast anatomy&physiology

  • 1. Breast Revision Mohd Fit’ri Akmal Ezwan Razmie
  • 2. Breast Anatomy • Composed of 15-20 pyramid-shaped lobes. • Separated and supported by Cooper ligaments. • Each lobes contains 20-40 lobules. • Each lobules subdivided into glandular alveoli. • Alveoli composed of secretory acini. • Alveoli empty into lactiferous ducts. • Ducts reach the skin through 9-10 pore in the nipple. • Each lobes and lobules separated and supported by muscle strands and fatty connective tissue.
  • 3. Breast Anatomy • Supplied by the perforating branches of the internal mammary artery, thoracoacromial artery, internal and lateral thoracic artery and intercostal arteries. • Venous return follows arterial supply, empty into superior vena cava. • Lymphatic drainage through axillary nodes and transpectoral nodes. • Receive sensory innervation from 2nd through 6th intercostal nerves and cervical plexus
  • 4. 1.Chest wall 2.Pectoralis major 3.Lobules 4.Nipple 5.Areola 6.Lactiferous ducts 7.Fatty tissue 8.Skin
  • 5. Nipple & Areola Anatomy • Nipple is a pigmented, cylindrical structure. • Usually located at the 4th or 5th intercostal space. • On surface, lies multiple openings. One from each lobes. • Areola is the circular pigmented area surrounding the nipple. • Contains a number of Montgomery glands.
  • 6. Nipple & Areola Anatomy • Nipple and areola contains smooth muscle. • Motor innervation from sympathetic nervous system.
  • 8. Breast Physiology Stage Development Fetal Breast tissue begins to develop around the sixth week in utero. Development Prepuberty Ducts are present but nonfunctional – resting state. Puberty Ducts elongate due to estrogen; breast bud appears. Young Adult Progesterone influence initiation of ovulation; ducts elongate; side branches of ducts and lobular elements form. Maturity Lobular elements are well formed. Pregnancy Distal ducts grow and branch; breast enlarge to twice it’s normal weight; increase in mammary blood flow; vascular engorgement and areolar pigmentation. Menopause Lobules begin to recede, leaving mostly ducts, adipose tissue and fibrous tissue.
  • 9. References 1. Pathophysiology 6th edition 2. http://www.medscape.org/viewarticle/5489 21_5