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BREAST
SEMINAR SURGERY UNIT 3
CMC HOSPITAL LARKANA

          By : sanaullah shaikh
Discussed N understand
»breast embryology
»Breast anatomy
»Breast physiology
» Embryologically part of integumentary
  system
» Functionally part of reproductive system
» Modified apocrine sweat gland
» Present in males and females
» In males it is rudimentary
» In females at puberty gland enlarges
» Breast development
  starts during foetal life
» Around 6th week of
  gestational age milk line
  appears
» at 9th week involutes
  sparing the chest area
» Around the 12th week,
  ingrowth of ectoderm
  forms primary bud
  tissue in mesenchyme
» primary bud tissue starts
  development of 15 -20
  secondary buds
» these secondary buds give
  rises to lactiferous ducts
» Mesenchyme gives rises to
  stromal tissue
» From birth until puberty,
  the breast consists of
  lactiferous ducts, with no
  alveoli.
» At puberty, the ducts start
   to proliferate
ANATOMY

POSITION AND ATTACHMENT

•LATERAL ASPECT OF PECTORAL
REGION
•LOCATED BETWEEN RIBS 3 AND 7
•EXTENDS FROM STERNUM TO
AXILLA
•SURROUNDED BY SUPERFICIAL
FASCIA
•REST ON DEEP FASCIA
»   4rth intercostal space
»   Hairless skin
»   Composed of collagenous tissue
»   Containing melanocytes
»   Smooth muscle cells
»   15-20 lactiferous ducts open on to its tip
» The areola is a disc of skin, which circles the
  base of the nipple,
» Melanocytes are quite numerous
» varying in colour from pink to dark brown
  depending on parity and race.
» Contain modified sebacious glands
» These glands enlarged during pregnancy called
  tubercles of montogmery
Composed of
» glandular tissue
» stromal fibrous tissue
» adipose tissue
• Glandular tissue
» composed of 15-20 pyramidal lobes
» each lobe contain 20-40 lobules but a separate lactiferous
  duct
»   Each lobule holds tiny, hollow BLIND ENDED sacs (alveoli)
  with their associated alveolar ducts that carry milk from the
  alveoli towards terminal lactiferous duct

• ADIPOSE TISSUE
» Highly variable

• STROMAL TISSUE
» Encloses lobules
Arterial supply
• Branches of Axillary artery
• Branches of internal thoracic artery
» Venous Drainage of Breast
  Tributaries axillary vein
  Tributaries of Internal thoracic vein
» The main function of breast is
  secretion and excretion of milk
» Generally, regulation of breast development
  and functions is done by four hormones
» Both Estrogen and progestrone are responsible
  for development of breast ductal system and
  deposition of fats on the breast.
• Sudden drop of progesterone and estrogen
  levels initiate lactation
• During lactation, milk production is
  stimulated by prolactin hormone from
  anterior pituitary gland
• Excretion of milk from breast than done by
  oxytocin hormone from posterior pituitary
  gland
- Both prolactin and oxytocin are released by
  the act of suckling which stimulates sensory
  nerve endings of nipple.
If you judge people, you have no time to
love them.
                                    “mother
teresa”

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Breast anatomy by sanaullah shaikh

  • 1.
  • 2. BREAST SEMINAR SURGERY UNIT 3 CMC HOSPITAL LARKANA By : sanaullah shaikh
  • 3. Discussed N understand »breast embryology »Breast anatomy »Breast physiology
  • 4. » Embryologically part of integumentary system » Functionally part of reproductive system » Modified apocrine sweat gland » Present in males and females » In males it is rudimentary » In females at puberty gland enlarges
  • 5. » Breast development starts during foetal life » Around 6th week of gestational age milk line appears » at 9th week involutes sparing the chest area » Around the 12th week, ingrowth of ectoderm forms primary bud tissue in mesenchyme
  • 6. » primary bud tissue starts development of 15 -20 secondary buds » these secondary buds give rises to lactiferous ducts » Mesenchyme gives rises to stromal tissue » From birth until puberty, the breast consists of lactiferous ducts, with no alveoli. » At puberty, the ducts start to proliferate
  • 7.
  • 8. ANATOMY POSITION AND ATTACHMENT •LATERAL ASPECT OF PECTORAL REGION •LOCATED BETWEEN RIBS 3 AND 7 •EXTENDS FROM STERNUM TO AXILLA •SURROUNDED BY SUPERFICIAL FASCIA •REST ON DEEP FASCIA
  • 9.
  • 10. » 4rth intercostal space » Hairless skin » Composed of collagenous tissue » Containing melanocytes » Smooth muscle cells » 15-20 lactiferous ducts open on to its tip
  • 11. » The areola is a disc of skin, which circles the base of the nipple, » Melanocytes are quite numerous » varying in colour from pink to dark brown depending on parity and race. » Contain modified sebacious glands » These glands enlarged during pregnancy called tubercles of montogmery
  • 12.
  • 13. Composed of » glandular tissue » stromal fibrous tissue » adipose tissue
  • 14. • Glandular tissue » composed of 15-20 pyramidal lobes » each lobe contain 20-40 lobules but a separate lactiferous duct » Each lobule holds tiny, hollow BLIND ENDED sacs (alveoli) with their associated alveolar ducts that carry milk from the alveoli towards terminal lactiferous duct • ADIPOSE TISSUE » Highly variable • STROMAL TISSUE » Encloses lobules
  • 15. Arterial supply • Branches of Axillary artery • Branches of internal thoracic artery
  • 16. » Venous Drainage of Breast Tributaries axillary vein Tributaries of Internal thoracic vein
  • 17.
  • 18. » The main function of breast is secretion and excretion of milk » Generally, regulation of breast development and functions is done by four hormones » Both Estrogen and progestrone are responsible for development of breast ductal system and deposition of fats on the breast.
  • 19. • Sudden drop of progesterone and estrogen levels initiate lactation • During lactation, milk production is stimulated by prolactin hormone from anterior pituitary gland • Excretion of milk from breast than done by oxytocin hormone from posterior pituitary gland - Both prolactin and oxytocin are released by the act of suckling which stimulates sensory nerve endings of nipple.
  • 20. If you judge people, you have no time to love them. “mother teresa”