Breast Exam

Question 1

tail of Spence

Answer 1

Area of breast tissue that extends laterally across the anterior axillary fold

Question 2

Arterial Supply of the breast

Answer 2

Each Breast receives branches of
1. Internal mammary artery
2. Posterior intercostal arteries
3.  axillary artery
\+ Medial mammary arteries (fr 3,4,5 anterior intercostal a.) and lateral mammary arteries (fr. lateral thoracic)

Question 3

Lymph from the tail of Spence drains where?

Answer 3

subscapular axillary nodes

Question 4

Lymph from the upper portion of the breast drains where?

Answer 4

infra clavicular nodes

Question 5

Lymph from the medial breast drains where?

Answer 5

mediastinal nodes
internal thoracic nodes
opposite breast lymph plexus

Question 6

Lymph from the inferior of the breast drains where?

Answer 6

abdominal wall lymph

extra peritoneal lymph plexus

Question 7

Lymph from the subareolar and sub mammary plexus drains where?

Answer 7

anterior or pectoral group of axillary lymph nodes

Question 8

when is the optimal time to examine the breast

Answer 8

5-7 days following the LMP

Question 9

Palpation Position

Answer 9

Pt supine with ipsilateral hand above head

Question 10

Palpation technique

Answer 10

vertical strips or spiraling, use finger pads and flatten breast tissue against chest wall. Motion should be continuous, the entire breast should be done by quadrant including the tail of spence. Use three levels of pressure