I. DEFINITION OF TERMS:
Breast – one of the two organs containing the mammary glands of the adulthuman female, located on the front of the chest. These glands are capable of secreting milk for the nourishment of the young.Areola – a heavily pigmented area, tissue surrounding the nippleLactation – a period when the secreting portions of the gland produce milk after the birth of the youngColostrum – yellowish or creamy appearing fluid that is thicker than milk andcontains more protein, fat soluble vitamins and mineralsMammary gland – are sweat or sebaceous gland modified through evolutionMammography – is a breast imaging modality that does not require the infectionon the contrast medium but can detect non palpable lesionsLatch-on – proper attachment of the infant to the breast for feeding
II. ANATOMY AND PHYSIOLOGY:
The breast or mammary glands are specialized sebaceous glands located inthe superficial fascia between the second rib and sixth intercostals cartilage. Thepectoral and anterior serratus muscles lie beneath each breast. Cooper’sligaments support the breast, extending from the deep fascia to the skim coveringeach breast. The breasts are composed of adipose, fibrous, glandular tissues.Deep within the glandular tissue are the tree-like branching ALVEOLI (secretoryunits of the mammary gland in which milk production takes place) or acini,arranged in series of 15-42 lobes. The lobules are made up of many grapelikeclusters of alveoli around small ducts. The ducts combine to form larger lactiferious ducts that open on the surface of the nipple.At the center of each breast is the nipple, a conic elevation composederectile tissue that becomes more rigid during sexual excitement, pregnancy andlactation.One of the biologic functions of the breasts is to supply nourishment andprotective anti-bodies to infants during the lactation process.
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