4. Introduction
o The breast is found in both the sexes, but rudimentary in male.
o Well developed in females after puberty.
o The breast is a modified sweat gland.
o Forms an important accessory organ of the female
reproductive system
o Functions – provides nutrition to the newborn in form of milk.
5. SITUATION
o The breast lies in the
superficial fascia of the pectoral region.
o Divided into four quadrants
1. Upper medial (inner)
2. Upper lateral (outer)
3. Lower medial
4. Lower lateral
o Small extension of upper lateral quadrant
AXILLARY TAIL OF SPENCE
7. EXTENT
o VERTICALLY
- Extends from 2nd to 6th rib
o HORIZONTALLY
– Extends from lateral border
of sternum to mid-axillary
line
8. DEEP RELATIONS- MUSCLES
• The breast lies on the deep fascia (pectoral
fascia) that covers the Pectoralis major
• Deeper down , there are parts of 3 muscles:
1. Pectoralis major (upper 2/3rd )
2. Serratus Anterior ( lateral 1/3rd )
3. Oblique muscle of the Abdomen
• The breast is separated from the deep fascia by a
loose areolar tissue known as RETROMAMMARY
SPACE
Allows the breast to move freely over
pectoralis major
9. STRUCTURE OF BREAST
1. THE SKIN
• Nipple
conical projection that lies in the center of breast at the level
of the 4th intercostal space
Has 15-20 lactiferous tubules
Contains circular (stiff) and longitudinal (flattened) smooth
muscle
• Areola
Skin surrounding the base of nipple which is pigmented.
Rich in sebaceous glands
Become enlarged and darkened during pregnancy to form
raised tubercles of Montgomery.