Breast histology* Flashcards

(26 cards)

1
Q

how many lobes is the secretary breast tissue made of

A

15-25

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2
Q

what each lobe consist of

A

compound tubulo acinar gland which drains via a series of ducts leading to the nipple

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3
Q

what is adjacent to the secretory lobules and what is it surrounded by

A

dense fibrous tissue surrounded by adipose tissue

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4
Q

what are suspensor ligaments of cooper

A

increased condensations of fibrocollagenous tissue that extend to the dermis of the skin and support the breast

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5
Q

where do the lactiferous ducts start and end

A

branch from each lobule and end at the end of the nipple

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6
Q

what do terminal ducts lead into and then what and then

A

interlobular collecting duct and then extra lobular collecting duct which then leads to lactiferous duct. this then leads to the nipple and passes through a sinus

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7
Q

what is the lactiferous sinus

A

the duct expands for a short distance and then gets smaller again - allows a reserver for milk to build up for breastfeeding

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8
Q

what is the lining of larger ducts

A

columnar epithelium

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9
Q

what is the lining of secretary acini

A

cuboidal or low columnar epithelium

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10
Q

what are both larger ducts and secretary acini surrounded by

A

myoepithelial cells - contractile epithelial cells

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11
Q

what do breast glands look similar to

A

sweat glands

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12
Q

what is the nipple covered by

A

high pigmented keratinized stratified squamous epithelium

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13
Q

what is the core of the nipple

A

dense irregular connective tissue mixed with bundles of smooth muscle

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14
Q

why is smooth muscle in the core of the nipple

A

for nipple erection

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15
Q

what can be seen in a transverse section through the nipple (2)

A

lactiferous sinuses

sebaceus glands which produce oil to help with the protection of the nipples during breastfeeding

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16
Q

what happens to the lining of the lactiferous duct as it reaches the surface

A

changes from being one cell thick to stratified columnar epithelium to stratified squamous epithelium

17
Q

what happens to the epithelial cells during the luteal phase

A

increase in height

lamina of ducts becomes enlarged and small secretions appear in ducts

18
Q

changed in the mamary glands during the first trimester

A

elongation and branching of the smaller ducts and proliferation of the epithelial cells of the glands and the myoepithelial cells

19
Q

what changes occur in the second trimester to the mammary gland

A

tissue continues to develop with differentiation of secretory alveoli
plasma cells and lymphocytes infiltrate the nearby connective tissue

20
Q

what changes occur in the third trimester in the mammary gland

A

alveoli continue to mature with development of extensive rER

21
Q

what are changes to the mammary gland accompanied

A

reduction in the amount of connective tissue and adipose tissue present

22
Q

what happens during pregnancy in terms of hormone production

A

oestrogen and progesterone stimulate proliferation of secretory tissue and fibre fatty tissue becomes sparse

23
Q

composition of human milk

A

88% water
1.5% protein (daily lactalbumin and casein)
7% carbohydrate (daily lactose)
3.5% lipid

small amounts of ions, vitamins and IgA antibodies

24
Q

how does apocrine secretion take place

A

lipid droplets bud off from mammary acini and end up as almost vesicles with surrounding membrane

25
how does merocrine secretion take place
proteins in milk are made rER packaged by golgi and secreted as vesicles which merge with apical membrane to release their content into the duct system
26
what happens to the secretory cells of the TDLU following menopause and what happens to the connective tissue
secretory cells degenerate leaving one ducts | connective tissue - fewer fibroblasts and reduced collagen and elastic fibres