THE BREAST

 Defination:

It is a modified sweat gland that secretes milk during lactational period in female. Type of gland: Exocrine / Apocrine

Axillary tail (of spence):

SITUATION
It lies on the fascia covering pectoralis major, serratus anterior, external oblique & rectus abdominis, separated by the areolar tissue (retromammary space)

Retromammary space

EXTENSION
 Vertically

it extends from the 2nd to 6th rib from lateral border of sternum to the midaxillary line.

 Horizontally

STRUCTURE OF THE BREAST
 From

outward to inward:  A. Skin: Nipple Areola  B. Parenchyma &  C. Stroma

 Skin:

Nipple Areola

 Parenchyma:

 Stroma:

Fibrous Fatty

BLOOD SUPPLY

Perforating branches of internal thoracic artery Lateral thoracic, superior thoracic, acromiothoracic arteries

Lateral branches of posterior intercostal arteries.

NERVE SUPPLY
 Anterior

& lateral cutaneous branches of 2nd to 6th intercostal nerves

LYMPHATIC DRAINAGE OF BREAST

Superficial drainage Upper outer quadrant Upper inner quadrant Lower outer quadrant Lower inner quadrant The deep drainage

a. b. c. d. 

LYMPHATIC DRAINAGE OF BREAST
 Subareolar

lymph plexus ( of Sappy)

DEVELOPMENT OF BREAST
 Breast

develops from a small part of milk line which is formed by the ectodermal ridge, extending from axilla to the groin on each side of the body

DEVELOPMENTAL ANAMOLIES
 Amastia  Athelia  Polythelia

& Polymastia  Accessory breast  Micromastia  Macromastia  Retracted nipple or inverted nipple

APPLIED ANATOMY
 Breast

abscess

 Carcinoma

breast

of

 Gynaecomastia:

Hypertrophy of the male breast. Causes: Chromosomal anomaly Drug induced

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