Breast Anatomy & Histology Flashcards

(30 cards)

1
Q

Where does the breast tissue lie?

A

Anterior to the deep fascia and pectoralis muscle

Subcutaneous tissue

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2
Q

Describe the structure of the breast

A

Lobulated lobes which drain through a duct system to the lactiferous duct and then nipple

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3
Q

What non-secretory tissue is found in the breast?

A

Adipose, fibrocollagenous tissue, suspensory pigments

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4
Q

Name the structure that allow movement of the breast

A

Retromammary space

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5
Q

Name the basic secretory unit of the breast

A

Terminal Duct Lobular Unit

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6
Q

Describe the structure of the duct system

A

Lactiferous duct drains into lobule via interlobular collecting duct which ends in terminal ductules

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7
Q

What is another name for terminal ductules?

A

Acini

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8
Q

What is the name of the tissue surrounding the duct system?

A

Interlobular stroma

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9
Q

What is the lactiferous sinus?

A

Expansion of lactiferous duct just before the nipple

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10
Q

Name the components of the lobule

A

Extralobular and interlobular ducts
Rudimentary secretory acini
Dense fibrocollagenous connective tissue surrounding the lobule
Looser connective tissue surrounding the acini
Adipose between lobules

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11
Q

What type of cells line the acini?

A

Cuboidal and columnar

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12
Q

What is the secretory epithelium surrounded by?

A

Myoepithelial - epithelial with contractile properties

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13
Q

What type of cell lines the lactiferous duct?

A

Stratified squamous epithelium

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14
Q

Where does the breast originate?

A

Modified sweat gland - apocrine

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15
Q

Describe the histology of the nipple

A

Wrinkled surface covered by a thin, highly pigmented keratinised stratified squamous epithelium - core of dense irregular connective tissue mixed with bundles of smooth muscle

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16
Q

As the lactiferous ducts get deeper what type of cell line them?

A

Stratified cuboidal epithelium

17
Q

Name the type of gland found in the breast

A

Sebaceous gland

18
Q

What happens to the breast during the menstrual cycle?

A

Luteal phase - epithelial cell height increases, the duct lumina enlarges and small secretions appear in the ducts

19
Q

Describe the breast changes in the first trimester

A

Elongation and branching of smaller ducts combined with proliferation of epithelial cells, glands and my-epithelial cells

20
Q

Describe the breast changes in the second trimester

A

Glandular tissue continues to develop with differentiation of secretory alveoli - plasma cells and lymphocytes infiltrate connective tissue

21
Q

Describe the breast changes in third trimester

A

Maturation of secretory alveoli and development of rER

22
Q

Which tissues reduce in pregnancy?

A

Adipose and connective tissue

23
Q

State the components of human milk

A
Water 
Protein - casein and lactalbumin 
Carbohydrate - lactose 
Lipid 
Small amounts of vitamins and IgA
24
Q

Name the two methods by which milk is secreted

A
Apocrine secretion 
Merocrine secretion (exocytosis)
25
Describe apocrine secretion
Lipid droplets are secreted by a surrounding membrane and small amount of cytoplasm within it
26
Describe merocrine secretion
Proteins in milk are made in the rER, packaged in the golgi and secreted via vesicles which merge with the apical membrane to release their contents into the ducts
27
What happens to the breast during menopause?
The secretory cells of the TDLUs degenerate leaving only ducts and connective tissue. There are fewer fibroblasts, reduced collagen and elastic fibres
28
What is the arterial supply to the breasts?
Lateral mammary branches - from lateral thoracic which originates from axillary/subclavian Medial mammary branches from internal thoracic
29
What is the venous drainage of the breasts?
Medial mammary veins - internal thoracic vein | Lateral mammary veins - lateral thoracic vein
30
Describe the lymphatic drainage of the breasts
Subareolar lymphatic plexus - axillary nodes - parasternal nodes - abdominal nodes