ANATOMY

Modified sweat gland

Lies in the superficial fascia of pectoral region Axillary tail pierces deep fasciaaxilla EXTENT-

-vertically, 2nd to 6th rib -horizontally, lateral border of sternum to MAL

DEEP RELATIONS
Lies on the pectoral fascia
Deeperparts of pectoralis major,serratus anterior,ext

oblique
Loose areolar tissue RETROMAMMARY SPACE

STRUCTURES OF THE BREAST

(A) SKIN:

NIPPLE 4th ICS 15-20 lactiferous ducts circular & long smooth muscles AREOLA rich in modified sebaceous glands -montgomery tubercles

(B) PARENCHYMA:

-glandular tissue secretes milk -15-20 lobes-cluster of alveoli - each drained by a lactiferous ducts -lactiferous sinus -myoepitheliocytes

(C) STROMA
Supporting framework Partly fibrous and fatty Fibrous stroma forms septa-suspensory ligaments of

cooper Fatty bulk

BLOOD SUPPLY
Internal thoracic artery br of subclavian

artery
Axillary arterylateral thoracic, superior thoracic,

acromiothoracic
Lateral branches of 2,3,4th posterior intercostal artery Mainly on the anterior surface

 Veins follow arteries Converge towards the nippleanastomotic circle

-superficial internal thoracic vein

-Deepintr thoracic vein axillary vein post intercostal veins.

NERVE SUPPLY
Anterior & lateral cutaneous br of 4th to 6th intercostal

nerves
Sensory to skin autonomic to smooth muscles & blood vessels Secretion by prolactin

LYMPH NODES
AXILLARY-85%

-Anterior -lateral -posterior

:along the lateral thoracic vessels : axillary vein :subscapular vessels

-central
-apical

:embedded in fat
supraclavicular nodes subclavian trunk great veins

 INTERNAL MAMMARY NODES-

-along int mammary vessels -posterior 1/3rd of breast

OTHERS-,deltopectoral.posterior intercostal node,

LYMPHATIC VESSELS
SUPERFICIAL skin over

breast except nipple and areola DEEP parenchyma, nipple, breast. Sub areolar plexus of sappey

BERGS LEVELS
LEVEL I
LEVEL II LEVEL III

: below and lateral to pectoralis minor

:Behind pectoralis minor :Above and medial to pectoralis minor

DEVELOPMENT OF BREAST
Ectodermal thickeningmammary ridge
Extends from axilla to groin 4th weekpersisting part is called mammary pit

secondary budslobes Pubertyestrogen

THANK YOU