UPPER LIMBREGIONAL ANATOMYdRsurajitkundusr. lecturerdept. of anatomymaitri institute of dental sciences & research centreanjora, durgchhattishgarh, india
INTRODUCTIONPARTS OF THE HUMAN BODY: HEAD NECK AND BRAIN, THORAX, ABDOMEN, EXTREMITIES (UPPER LIMB AND LOWER LIMB)UPPER LIMBHAS 4 PARTS- SHOULDER, ARM, FOREARM AND HAND
THE PECTORAL REGION
THE MAMMARY GLANDORTHE BREAST
INTRODCTIONPRESENT BILATERALLY IN BOTH SEXES
MALE AND IMMATURE FEMALES- RUDIMENTARY
MATURE FEMALES- WELL DEVELOPED AND BECOMES MORE PROMINENT DURING PREGNANCY AND LACTATION
MOST IMPORTANT STRUCTURE OF THE PECTORAL REGION
IT IS A MODIFIED SWEAT GLAND (APOCRINE TYPE).POSITIONLIES IN THE SUPERFICIAL  FASCIA OF THE PECTORAL REGIONBUT A SMALL EXTENSION KNOWN AS AXILLARY TAIL OF SPENCEPIERCESTHE AXILLARY FASCIA THROUGH A SMALL FORAMEN KNOWN FORAMEN OF LANGER AND LIES IN THE AXILLA
EXTENTVERTICALLYFROM SECOND TO SIXTH RIB IN THE MID CLAVICULAR LINEHORIZONTALLYFROM LATERAL BORDER OF STERNUM TO THE MID AXILLARY LINE ALONG THE FOURTH RIB
RELATIONSTHE BASE OF THE MAMMARY GLAND CALLED AS  MAMMARY BED RESTS UPON THE FOLLOWING STRUCTURES (FROM SUPERFICIAL TO DEEP)RETROMAMMARY SPACEDEEP FASCIA (PECTORAL FASCIA)MUSCLES- PECTORALIS MAJOR, SERRATUS ANTERIOR, EXTERNAL OBLIQUERETROMAMMARY SPACEA SPACE DEEP TO THE BASE OF THE GLAND, LIES SUPERFICIAL TO DEEP FASCIA, CONTAINS LOOSE AREOLAR TISSUE, MAKES THE GLAND FREELY MOVABLE.
RETROMAMMARY SPACE
PRESENTING PARTSNIPPLECONICAL PROJECTION IN THE CENTRE OF THE ANTERIOR PART OF THE BREAST, LIES IN THE FOURTH INTERCOSTAL SPACE, PINK IN COLOUR, HAS HIGH NERVOUS INNERVATION AND OPENINGS OF 15-20 LACTIFEROUS DUCTS.(B) AREOLACIRCULAR PIGMENTED AREA OF SKIN AROUND THE BASE OF THE NIPPLE, BECOMES DARKER DURING PREGNANCY AND LACTATION, CONTAINS MODIFIED SEBACIOUS GLANDS WHICH BECOMES ENLARGED DURING PREGNANCY AND LACTATION FORMING TUBERCLES OF MONTGOMERRY
STRUCTURE3 COMPONENTS(A) FIBROUS TISSUE(B) GLANDULAR TISSUE(C) AREOLAR TISSUE
(A) FIBROUS TISSUESUPPORTS THE ENTIRE GLANDFORMS SEPTA (SUSPENSORY LIGAMENTS OF COOPER) WHICH ANCHORS THE GLAND TO THE OVERLYING SKIN AND TO THE UNDERLYING DEEP FASCIA (PECTORAL FASCIA) AND DIVIDES THE GLAND INTO 15-20 LOBES
(B) GLANDULAR TISSUECONSIST OF 15-20 LOBESLOBES ARE OF TUBULOALVEOLAR TYPEEACH LOBE HAS ONE LACTIFEROUS DUCTLOBES ARE ARRANGED IN A RADIATING MANNER ARROUND THE AREOLATHE LACTIFEROUS DUCT DILATES NEAR ITS OPENING IN THE NIPPLE TO FORM LACTIFEROUS SINUS WHICH ACT AS RESERVOIR OF MILKDUCTS ARE SURROUNDED BY MYOEPITHELIAL CELLS
STRUCTURE OF THE MAMMARY GLAND
NEUROVASCULAR SUPPLY
ARTERIAL SUPPLYBREAST IS HIGHLY VASCULAR ORGAN. SUPPLIED BY THE FOLLOWING SETS OF ARTERIES:AXILLARY ARTERY- LATERAL THORACIC BRANCH AND SUPERIOR THORACIC BRANCHINTERNAL THORACIC ARTERY- PERFORATING BRANCHPOSTERIOR INTERCOSTAL ARTERY (2ND , 3RD, 4TH )- LATERAL BRANCH.
VENOUS DRAINAGEVEINS FORM AN ANASTOMOTIC VENOUS CIRCULAR PLEXUS ARROUND THE MAMMARY GLAND KNOWN AS CIRCULAR VENOSUS.VEINS FROM THIS PLEXUS ENDS IN AXILLARY, INTERNAL THORACIC AND POSTERIOR INTERCOSTAL VEINS.
NERVE SUPPLYINTERCOSTAL NERVES (4TH- 6TH )- ANTERIOR AND LATERAL CUTANEOUS BRANCHES.
LYMPHATIC DRAINAGE

Breast (Mammary gland)

  • 1.
    UPPER LIMBREGIONAL ANATOMYdRsurajitkundusr.lecturerdept. of anatomymaitri institute of dental sciences & research centreanjora, durgchhattishgarh, india
  • 2.
    INTRODUCTIONPARTS OF THEHUMAN BODY: HEAD NECK AND BRAIN, THORAX, ABDOMEN, EXTREMITIES (UPPER LIMB AND LOWER LIMB)UPPER LIMBHAS 4 PARTS- SHOULDER, ARM, FOREARM AND HAND
  • 4.
  • 5.
  • 6.
  • 7.
    MALE AND IMMATUREFEMALES- RUDIMENTARY
  • 8.
    MATURE FEMALES- WELLDEVELOPED AND BECOMES MORE PROMINENT DURING PREGNANCY AND LACTATION
  • 9.
    MOST IMPORTANT STRUCTUREOF THE PECTORAL REGION
  • 10.
    IT IS AMODIFIED SWEAT GLAND (APOCRINE TYPE).POSITIONLIES IN THE SUPERFICIAL FASCIA OF THE PECTORAL REGIONBUT A SMALL EXTENSION KNOWN AS AXILLARY TAIL OF SPENCEPIERCESTHE AXILLARY FASCIA THROUGH A SMALL FORAMEN KNOWN FORAMEN OF LANGER AND LIES IN THE AXILLA
  • 11.
    EXTENTVERTICALLYFROM SECOND TOSIXTH RIB IN THE MID CLAVICULAR LINEHORIZONTALLYFROM LATERAL BORDER OF STERNUM TO THE MID AXILLARY LINE ALONG THE FOURTH RIB
  • 13.
    RELATIONSTHE BASE OFTHE MAMMARY GLAND CALLED AS MAMMARY BED RESTS UPON THE FOLLOWING STRUCTURES (FROM SUPERFICIAL TO DEEP)RETROMAMMARY SPACEDEEP FASCIA (PECTORAL FASCIA)MUSCLES- PECTORALIS MAJOR, SERRATUS ANTERIOR, EXTERNAL OBLIQUERETROMAMMARY SPACEA SPACE DEEP TO THE BASE OF THE GLAND, LIES SUPERFICIAL TO DEEP FASCIA, CONTAINS LOOSE AREOLAR TISSUE, MAKES THE GLAND FREELY MOVABLE.
  • 14.
  • 15.
    PRESENTING PARTSNIPPLECONICAL PROJECTIONIN THE CENTRE OF THE ANTERIOR PART OF THE BREAST, LIES IN THE FOURTH INTERCOSTAL SPACE, PINK IN COLOUR, HAS HIGH NERVOUS INNERVATION AND OPENINGS OF 15-20 LACTIFEROUS DUCTS.(B) AREOLACIRCULAR PIGMENTED AREA OF SKIN AROUND THE BASE OF THE NIPPLE, BECOMES DARKER DURING PREGNANCY AND LACTATION, CONTAINS MODIFIED SEBACIOUS GLANDS WHICH BECOMES ENLARGED DURING PREGNANCY AND LACTATION FORMING TUBERCLES OF MONTGOMERRY
  • 16.
    STRUCTURE3 COMPONENTS(A) FIBROUSTISSUE(B) GLANDULAR TISSUE(C) AREOLAR TISSUE
  • 17.
    (A) FIBROUS TISSUESUPPORTSTHE ENTIRE GLANDFORMS SEPTA (SUSPENSORY LIGAMENTS OF COOPER) WHICH ANCHORS THE GLAND TO THE OVERLYING SKIN AND TO THE UNDERLYING DEEP FASCIA (PECTORAL FASCIA) AND DIVIDES THE GLAND INTO 15-20 LOBES
  • 18.
    (B) GLANDULAR TISSUECONSISTOF 15-20 LOBESLOBES ARE OF TUBULOALVEOLAR TYPEEACH LOBE HAS ONE LACTIFEROUS DUCTLOBES ARE ARRANGED IN A RADIATING MANNER ARROUND THE AREOLATHE LACTIFEROUS DUCT DILATES NEAR ITS OPENING IN THE NIPPLE TO FORM LACTIFEROUS SINUS WHICH ACT AS RESERVOIR OF MILKDUCTS ARE SURROUNDED BY MYOEPITHELIAL CELLS
  • 19.
    STRUCTURE OF THEMAMMARY GLAND
  • 20.
  • 21.
    ARTERIAL SUPPLYBREAST ISHIGHLY VASCULAR ORGAN. SUPPLIED BY THE FOLLOWING SETS OF ARTERIES:AXILLARY ARTERY- LATERAL THORACIC BRANCH AND SUPERIOR THORACIC BRANCHINTERNAL THORACIC ARTERY- PERFORATING BRANCHPOSTERIOR INTERCOSTAL ARTERY (2ND , 3RD, 4TH )- LATERAL BRANCH.
  • 22.
    VENOUS DRAINAGEVEINS FORMAN ANASTOMOTIC VENOUS CIRCULAR PLEXUS ARROUND THE MAMMARY GLAND KNOWN AS CIRCULAR VENOSUS.VEINS FROM THIS PLEXUS ENDS IN AXILLARY, INTERNAL THORACIC AND POSTERIOR INTERCOSTAL VEINS.
  • 23.
    NERVE SUPPLYINTERCOSTAL NERVES(4TH- 6TH )- ANTERIOR AND LATERAL CUTANEOUS BRANCHES.
  • 24.